Intrauterine Fetal Transfusion

Abstract

1. A woman is pregnant at 31 weeks’ gestation with Rh (D)–negative, antibody-negative blood type. She develops a placental abruption, prompting delivery of a viable preterm infant with Rh (D)–positive blood type. Which of the following is recommended after delivery to prevent D-alloimmunization in the mother? 2. Unfortunately she does not receive the appropriate treatment. She then has a miscarriage while traveling and has an extremely elevated anti-D antibody titer in her next pregnancy 2 years later. She is diagnosed with fetal anemia at 22 weeks’ gestation and ultimately has a procedure ( Video 1). What procedure is being shown in this video? Video 1. Click here to view the video. Fetal intraperitoneal transfusion. Alloimmunization is the development of antibodies to foreign red blood cell antigens. Fetal red blood cell antigens are determined by maternal and paternal red blood cell phenotypes. If the fetus expresses antigens foreign to the pregnant woman, the woman can develop immunoglobulin G (IgG) antibodies to this …