Journal of Nippon Medical School: Vol.70 No.5 page.447

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ArticleTitle A Case of Maternal Reaction Due to Fetomaternal Transfusion

AuthorList Shunji Suzuki^{1, 2}, Toyohiko Kuwajima^{1, 2}, Tomoaki Murata² and Tsutomu Araki²

Affiliation ¹Department of Obstetrics and Gynecology, Tokyo Rinkai Hospital
²Department of Obstetrics and Gynecology, Nippon Medical School

Language EN

Volume 70

Issue 5

Year 2003

Page 447-448

Received January 9, 2003

Accepted March 4, 2003

Keywords ABO incompatibility, Alfa-fetoprotein, Fetomaternal transfusion

Abstract
We present here a case of maternal reaction to fetomaternal transfusion complicated by subchorionic hemorrhage. A 40-year-old woman, gravida 2, para 0, was admitted to our hospital at 25 weeks' gestation because of high blood pressure. On the morning of 32 weeks and 2 days' gestation, she developed sudden onset nausea, dyspnea and regular uterine contractions. Blood pressure was 80/50 mmHg and pulse was 110 beats/minute. At this time, her WBC, hemoglobin and platelets were decreased significantly. Two hours after onset, the patient's condition improved spontaneously. Increased serum alpha-fetoprotein level (3.0 multiple of median) was observed. She was suggested to be a case of acute fetomaternal transfusion.

Correspondence to Correspondence to Shunji Suzuki, MD, Department of Obstetrics and Gynecology, Tokyo Rinkai Hospital, 1-4-2 Rinkai-cho, Edogawa-ku, Tokyo 134-0086, Japan
czg83542@mopera.ac.jp

ArticleTitle	A Case of Maternal Reaction Due to Fetomaternal Transfusion
AuthorList	Shunji Suzuki^{1, 2}, Toyohiko Kuwajima^{1, 2}, Tomoaki Murata² and Tsutomu Araki²
Affiliation	¹Department of Obstetrics and Gynecology, Tokyo Rinkai Hospital ²Department of Obstetrics and Gynecology, Nippon Medical School
Language	EN
Volume	70
Issue	5
Year	2003
Page	447-448
Received	January 9, 2003
Accepted	March 4, 2003
Keywords	ABO incompatibility, Alfa-fetoprotein, Fetomaternal transfusion
Abstract	We present here a case of maternal reaction to fetomaternal transfusion complicated by subchorionic hemorrhage. A 40-year-old woman, gravida 2, para 0, was admitted to our hospital at 25 weeks' gestation because of high blood pressure. On the morning of 32 weeks and 2 days' gestation, she developed sudden onset nausea, dyspnea and regular uterine contractions. Blood pressure was 80/50 mmHg and pulse was 110 beats/minute. At this time, her WBC, hemoglobin and platelets were decreased significantly. Two hours after onset, the patient's condition improved spontaneously. Increased serum alpha-fetoprotein level (3.0 multiple of median) was observed. She was suggested to be a case of acute fetomaternal transfusion.
Correspondence to	Correspondence to Shunji Suzuki, MD, Department of Obstetrics and Gynecology, Tokyo Rinkai Hospital, 1-4-2 Rinkai-cho, Edogawa-ku, Tokyo 134-0086, Japan czg83542@mopera.ac.jp