International Journal of Infertility & Fetal Medicine

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VOLUME 11 , ISSUE 1 ( January-April, 2020 ) > List of Articles

CASE REPORT

Nonimmune Fetal Anemia: Exploring the Unfathomed! Case Series and Review of Literature

Nina Navakumar, R Vidyalekshmy, Neetha A Paul

Keywords : Fetal anemia, Fetal blood sampling, Intrauterine transfusion, Non-immune hydrops

Citation Information : Navakumar N, Vidyalekshmy R, Paul NA. Nonimmune Fetal Anemia: Exploring the Unfathomed! Case Series and Review of Literature. Int J Infertil Fetal Med 2020; 11 (1):20-26.

DOI: 10.5005/jp-journals-10016-1198

License: CC BY-NC 4.0

Published Online: 25-01-2021

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: To discuss a series of complex non-immune fetal anemia cases, including etiology, investigations, workup, diagnosis, and management. Materials and methods: Five complex non-immune cases of fetal anemia seen in our department are presented. Results: Of the five cases presented, all are live births with follow-up least up to 1.5 years of age. They are cases of hereditary spherocytosis, congenital dyserythropoietic anemia, MCDA twins—twin-twin transfusion syndrome (TTTS) post-laser co-twin demise-fetal anemia, placental chorioangioma, and massive fetomaternal hemorrhage. Conclusion: Non-immune causes of fetal anemia can be difficult to diagnose its etiology and hence complex to manage. Repeated intrauterine transfusions may be the only perinatal management. The perinatal morbidity/mortality and preterm delivery rates are increased, and some cases require long-term treatment including regular transfusions. We present our experience of a series of complex non-immune fetal anemia managed in a tertiary unit, review the literature, and suggest appropriate management.


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