Abstract
Silent Feto-Maternal Bleed as a Cause of Severe Neonatal Anemia
Highlights
Feto-maternal hemorrhage is defined as the entrance of fetal provided the original work is properly cited.Reviewed & Approved by: Dr Aye Aye Myint, Department of Pediatrics, Mandalay Children Hospital, University of Medicine, Mandalay, Myanmar blood into the maternal circulation during pregnancy
We describe a case of a newborn infant presenting with severe anemia due to silent feto-maternal bleed
Since the infant appeared pale, complete blood count (CBC) was obtained which was significant for a white cell count of 54100/μl, hemoglobin (Hgb) of 4.1 g/dl (19.3 ± 2.2 g/dl), hematocrit (Hct) of 13.7% (61 ± 7.4 %), platelets of 206,000/μl and an immature to total neutrophil cell (I/T) ratio of 0.31
Summary
We describe a case of a newborn infant presenting with severe anemia due to silent feto-maternal bleed. The diagnosis was complicated by vague maternal symptoms and completely normal appearance of the placenta on examination. Blood culture was obtained and the baby was started on prophylactic antibiotics secondary to the abnormal white cell count raising concerns for Anemia is defined as hematocrit or hemoglobin concentration
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