TWELVE INTRAUTERINE TRANSFUSIONS IN THE EARLY EDEMATOUS FORM OF HEMOLYTIC DISEASE IN BOTH FETUSES WITH DICHORIONIC DIAMNIOTIC TWINS
This article presents the clinical case of successful intrauterine treatment of an edematous-anemic form of rhesus hemolytic disease in dichorionic diamniotic twins. Seven intrauterine blood transfusions were consecutively performed to the first fetus and five transfusions to the second ones from 24...
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| Format: | Article |
| Language: | Russian |
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The Publishing House Medicine and Enlightenment
2024-11-01
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| Series: | Мать и дитя в Кузбассе |
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| Online Access: | https://mednauki.ru/index.php/MD/article/view/1114 |
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| author | Антон Валерьевич Михайлов Алексей Николаевич Кянксеп Светлана Владимировна Самусь Анна Антоновна Савельева Татьяна Александровна Каштанова Инна Викторовна Кянксеп Артем Николаевич Романовский |
| author_facet | Антон Валерьевич Михайлов Алексей Николаевич Кянксеп Светлана Владимировна Самусь Анна Антоновна Савельева Татьяна Александровна Каштанова Инна Викторовна Кянксеп Артем Николаевич Романовский |
| author_sort | Антон Валерьевич Михайлов |
| collection | DOAJ |
| description | This article presents the clinical case of successful intrauterine treatment of an edematous-anemic form of rhesus hemolytic disease in dichorionic diamniotic twins. Seven intrauterine blood transfusions were consecutively performed to the first fetus and five transfusions to the second ones from 24 weeks of pregnancy. The last intrauterine transfusions to both fetuses were performed at 36 1/7 weeks. The fetuses were delivered by cesarean section with a gestational age of 37 weeks. Two live term boys were born with an Apgar score of 9/9 and 8/9, a weight of 2920 and 2530 grams. The neonates did not need respiratory support and exchange blood transfusions.
Conclusion. This clinical case demonstrates the possibility of prolonging a multiple pregnancy in Rh-immunized patient with severe fetal hemolytic disease to a full term and achieving favorable perinatal outcomes, provided that early detection and timely correction of severy anemia in both fetuses by serial intrauterine blood transfusions. |
| format | Article |
| id | doaj-art-2dfa1f7ffeb1481981eb99f468016d7c |
| institution | Kabale University |
| issn | 1991-010X 2542-0968 |
| language | Russian |
| publishDate | 2024-11-01 |
| publisher | The Publishing House Medicine and Enlightenment |
| record_format | Article |
| series | Мать и дитя в Кузбассе |
| spelling | doaj-art-2dfa1f7ffeb1481981eb99f468016d7c2025-02-03T15:55:08ZrusThe Publishing House Medicine and EnlightenmentМать и дитя в Кузбассе1991-010X2542-09682024-11-012548693982TWELVE INTRAUTERINE TRANSFUSIONS IN THE EARLY EDEMATOUS FORM OF HEMOLYTIC DISEASE IN BOTH FETUSES WITH DICHORIONIC DIAMNIOTIC TWINSАнтон Валерьевич Михайлов0Алексей Николаевич Кянксеп1Светлана Владимировна Самусь2Анна Антоновна Савельева3Татьяна Александровна Каштанова4Инна Викторовна Кянксеп5Артем Николаевич Романовский6СПб ГБУЗ «Родильный дом № 17»; НИИ акушерства, гинекологии и репродуктологии им. Д.О. Отта; ФГБОУ ВО СЗГМУ им. И.И. Мечникова Минздрава России; ФГБОУ ВО ПСПбГМУ им. акад. И.П. Павлова Минздрава России, г. Санкт-ПетербургСПб ГБУЗ «Родильный дом № 17», г. Санкт-ПетербургСПб ГБУЗ «Родильный дом № 17», г. Санкт-ПетербургСПб ГБУЗ «Родильный дом № 17», г. Санкт-ПетербургСПб ГБУЗ «Родильный дом № 17», г. Санкт-ПетербургСПб ГБУЗ «Родильный дом № 17», г. Санкт-ПетербургФГБОУ ВО СПбГУ; СПб ГБУЗ «Родильный дом № 17», г. Санкт-ПетербургThis article presents the clinical case of successful intrauterine treatment of an edematous-anemic form of rhesus hemolytic disease in dichorionic diamniotic twins. Seven intrauterine blood transfusions were consecutively performed to the first fetus and five transfusions to the second ones from 24 weeks of pregnancy. The last intrauterine transfusions to both fetuses were performed at 36 1/7 weeks. The fetuses were delivered by cesarean section with a gestational age of 37 weeks. Two live term boys were born with an Apgar score of 9/9 and 8/9, a weight of 2920 and 2530 grams. The neonates did not need respiratory support and exchange blood transfusions. Conclusion. This clinical case demonstrates the possibility of prolonging a multiple pregnancy in Rh-immunized patient with severe fetal hemolytic disease to a full term and achieving favorable perinatal outcomes, provided that early detection and timely correction of severy anemia in both fetuses by serial intrauterine blood transfusions.https://mednauki.ru/index.php/MD/article/view/1114анемия плодавнутриматочное переливание крови (впк)перинатальные потеридвойнярезус-изосенсибилизациягемолитическая болезнь |
| spellingShingle | Антон Валерьевич Михайлов Алексей Николаевич Кянксеп Светлана Владимировна Самусь Анна Антоновна Савельева Татьяна Александровна Каштанова Инна Викторовна Кянксеп Артем Николаевич Романовский TWELVE INTRAUTERINE TRANSFUSIONS IN THE EARLY EDEMATOUS FORM OF HEMOLYTIC DISEASE IN BOTH FETUSES WITH DICHORIONIC DIAMNIOTIC TWINS Мать и дитя в Кузбассе анемия плода внутриматочное переливание крови (впк) перинатальные потери двойня резус-изосенсибилизация гемолитическая болезнь |
| title | TWELVE INTRAUTERINE TRANSFUSIONS IN THE EARLY EDEMATOUS FORM OF HEMOLYTIC DISEASE IN BOTH FETUSES WITH DICHORIONIC DIAMNIOTIC TWINS |
| title_full | TWELVE INTRAUTERINE TRANSFUSIONS IN THE EARLY EDEMATOUS FORM OF HEMOLYTIC DISEASE IN BOTH FETUSES WITH DICHORIONIC DIAMNIOTIC TWINS |
| title_fullStr | TWELVE INTRAUTERINE TRANSFUSIONS IN THE EARLY EDEMATOUS FORM OF HEMOLYTIC DISEASE IN BOTH FETUSES WITH DICHORIONIC DIAMNIOTIC TWINS |
| title_full_unstemmed | TWELVE INTRAUTERINE TRANSFUSIONS IN THE EARLY EDEMATOUS FORM OF HEMOLYTIC DISEASE IN BOTH FETUSES WITH DICHORIONIC DIAMNIOTIC TWINS |
| title_short | TWELVE INTRAUTERINE TRANSFUSIONS IN THE EARLY EDEMATOUS FORM OF HEMOLYTIC DISEASE IN BOTH FETUSES WITH DICHORIONIC DIAMNIOTIC TWINS |
| title_sort | twelve intrauterine transfusions in the early edematous form of hemolytic disease in both fetuses with dichorionic diamniotic twins |
| topic | анемия плода внутриматочное переливание крови (впк) перинатальные потери двойня резус-изосенсибилизация гемолитическая болезнь |
| url | https://mednauki.ru/index.php/MD/article/view/1114 |
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