Abstract

SINCE Liley's introduction of fetal transfusion, 1 there has been a complete revision of thought regarding the management of erythroblastosis fetalis. The following two patients illustrate an additional benefit heretofore unreported. In these patients, in utero transfusion eliminated the necessity of postdelivery exchange transfusions. Further, utilization of a new technique for localization of the fetal peritoneal cavity may significantly reduce the risk of fetal damage. These cases also point to the need for establishing new standards for such procedures, for undoubtedly such cases are more common than one is made to think from reviewing the literature. A review of the literature is included. Report of Cases Case1.—A 34-year-old gravida 4 para 3, was first examined in October 1965. Her last menstrual period was on Aug 5, 1965. Physical examination confirmed the presence of an intrauterine gestation consistent with the period of amenorrhea. Laboratory examination revealed type A blood,

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