FETOMATERNAL HAEMORRHAGE – DIFFERENTIAL DIAGNOSIS – CASE REPORT

<p>Background. There are several different causes for fetomaternal haemorrhage. Sinusoidal pattern, which is relatively characteristic for fetal anaemia, may in its final stages completely disappear. Differential diagnosis of silent trace of cardiotocogram with late decelerations is quite diff...

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Main Authors: Jadranka Domazet-Fink, Maja Pestevšek, Živa Novak-Antolič
Format: Article
Language:English
Published: Slovenian Medical Association 2002-07-01
Series:Zdravniški Vestnik
Subjects:
Online Access:http://vestnik.szd.si/index.php/ZdravVest/article/view/1605
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author Jadranka Domazet-Fink
Maja Pestevšek
Živa Novak-Antolič
author_facet Jadranka Domazet-Fink
Maja Pestevšek
Živa Novak-Antolič
author_sort Jadranka Domazet-Fink
collection DOAJ
description <p>Background. There are several different causes for fetomaternal haemorrhage. Sinusoidal pattern, which is relatively characteristic for fetal anaemia, may in its final stages completely disappear. Differential diagnosis of silent trace of cardiotocogram with late decelerations is quite difficult to solve.</p><p>Case report. A case of unusual injury of a pregnant woman is described. The injury led to fetomaternal haemorrhage. Typical sinusoidal pattern cardiotocogram was not seen and the differential diagnosis was hard to determine. Because of prompt intervention and efficient postnatal therapy the child and mother are both well. The dilemmas in regards to differential diagnosis are being discussed.</p><p>Conclusions. It is important to be very careful in history taking even if the situation is urgent. If there is no explanation for pathological cardiotocogram, decision must be made according to pregnant woman’s wishes. Kleihauer-Betke test, which is easy to perform and gives much information, is described.<br /><br /></p>
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spelling doaj.art-f20e1c17f69f484b856a9a1118b923892022-12-21T17:30:59ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242002-07-01717/81142FETOMATERNAL HAEMORRHAGE – DIFFERENTIAL DIAGNOSIS – CASE REPORTJadranka Domazet-Fink0Maja Pestevšek1Živa Novak-Antolič2Zdravstveni dom Moste-Polje Enota Fužine Preglov trg NN 1000 LjubljanaKlinični oddelek za perinatologijo Ginekološka klinika Klinični center Šlajmerjeva 3 1525 LjubljanaKlinični oddelek za perinatologijo Ginekološka klinika Klinični center Šlajmerjeva 3 1525 Ljubljana<p>Background. There are several different causes for fetomaternal haemorrhage. Sinusoidal pattern, which is relatively characteristic for fetal anaemia, may in its final stages completely disappear. Differential diagnosis of silent trace of cardiotocogram with late decelerations is quite difficult to solve.</p><p>Case report. A case of unusual injury of a pregnant woman is described. The injury led to fetomaternal haemorrhage. Typical sinusoidal pattern cardiotocogram was not seen and the differential diagnosis was hard to determine. Because of prompt intervention and efficient postnatal therapy the child and mother are both well. The dilemmas in regards to differential diagnosis are being discussed.</p><p>Conclusions. It is important to be very careful in history taking even if the situation is urgent. If there is no explanation for pathological cardiotocogram, decision must be made according to pregnant woman’s wishes. Kleihauer-Betke test, which is easy to perform and gives much information, is described.<br /><br /></p>http://vestnik.szd.si/index.php/ZdravVest/article/view/1605fetal anaemiacardiotocographysinusoid patternKleihauer-Betke testsilent CTG
spellingShingle Jadranka Domazet-Fink
Maja Pestevšek
Živa Novak-Antolič
FETOMATERNAL HAEMORRHAGE – DIFFERENTIAL DIAGNOSIS – CASE REPORT
Zdravniški Vestnik
fetal anaemia
cardiotocography
sinusoid pattern
Kleihauer-Betke test
silent CTG
title FETOMATERNAL HAEMORRHAGE – DIFFERENTIAL DIAGNOSIS – CASE REPORT
title_full FETOMATERNAL HAEMORRHAGE – DIFFERENTIAL DIAGNOSIS – CASE REPORT
title_fullStr FETOMATERNAL HAEMORRHAGE – DIFFERENTIAL DIAGNOSIS – CASE REPORT
title_full_unstemmed FETOMATERNAL HAEMORRHAGE – DIFFERENTIAL DIAGNOSIS – CASE REPORT
title_short FETOMATERNAL HAEMORRHAGE – DIFFERENTIAL DIAGNOSIS – CASE REPORT
title_sort fetomaternal haemorrhage differential diagnosis case report
topic fetal anaemia
cardiotocography
sinusoid pattern
Kleihauer-Betke test
silent CTG
url http://vestnik.szd.si/index.php/ZdravVest/article/view/1605
work_keys_str_mv AT jadrankadomazetfink fetomaternalhaemorrhagedifferentialdiagnosiscasereport
AT majapestevsek fetomaternalhaemorrhagedifferentialdiagnosiscasereport
AT zivanovakantolic fetomaternalhaemorrhagedifferentialdiagnosiscasereport