Abstract
Aim: To evaluate the incidence and outcome of all neonates with demonstrated fetomaternal hemorrhages ≥20 ml and to assess possible predictors of large fetomaternal hemorrhage and outcome.Methods:Retrospective data analysis 1987-2000. Clinical data included antenatal events, method of delivery, condition at birth, hematology results, treatment and outcome.Results: Sixteen infants wereidentified and treated for fetomaternal hemorrhage. Adverse outcome occurred in five infants (31%). Outcome was predicted by postnatal presentation and initial hemoglobin.Conclusion: Adverseoutcome amongst neonates with large fetomaternal hemorrhage is high. Outcome is better predicted by initial hemoglobin than volume of hemorrhage as per the Kleihauer test.
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