All issues > Volume 37(12); 1994

Case Report

J Korean Pediatr Soc. 1994;37(12):1762-1766. Published online December 15, 1994.

A Case of Stillbirth Due to Fetomaternal Transfusion

Jin Min JM Choi¹, Myoung Bae MB Jeon¹, Byung Joo BJ Park¹, Jung Hye JH Choi¹, Seoung Yul SY Lee¹, Dong Won DW Choi¹

¹Department of Pediatrics, Inchon Christian Hospital, Inchon, Korea

Abstract

Transfer of large quantities of fetal blood across the placental barrier to the maternal circulation is a rare occurrence which results in severe anemia in the newborn infants. This phenomenon is believed to occur most often during labor and delivery and apparently, is more frequent when abnormal obstetric conditions are present. However, fetal erythrocytes have been identified in the naternal circulation throughout most of pregnancy indicating some degree of constant or intermittent transplacental transfusion. We experienced a case of stillbirth due to large amount of fetomaternal transfusion. Acid elutionl test of maternal blood was positive and direct and indirect Coombs test was negative. Ultrasonographic finding on abdomen and cranium to rule out the internal hemorrhage was normal. We report a case of stillbirth due to fetomaternal transfusion with a brief review of related literatures.

Keywords :Fetomaternal transfusion, Stillbirth