Published in:
01-05-2013 | Letter to the Editor
An achieved live birth following five-time serial stillbirth by serious Rh alloimmunization
Authors:
Minmin Hou, Aiyun Xing, Hong Luo, Jian Chen
Published in:
Archives of Gynecology and Obstetrics
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Issue 5/2013
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Excerpt
A 41-year-old G6P1+4 woman presented for first prenatal visit at 26 weeks gestation. It was her sixth pregnancy. The details of the previous four pregnancies cannot be acquired, but all the four pregnancies were ended by stillbirth at approximately 3, 4, 5, and 6 months gestation, respectively, and the fourth fetus was diagnosed with fetal hydrops before death. Three years ago, she was in fifth pregnancy, fetal hydrops was found at 27 weeks gestation. She was hospitalized, laboratory examination showed her blood type was O Rh-negative, and the titer of anti-RhD was 256. Amniocentesis and intrauterine transfusion were suggested to her. Being worried about neonatal adverse outcome, the patient gave up any treatment and was discharged. The fetus was dead 3 weeks later and the patient received induced labor at a village hospital. In her childhood, the patient was hospitalized and received platelet transfusion several times because of immune thrombocytopenic purpura (ITP), and Rh blood type was not analyzed at that time. …