Abstract

HUERTAS TACCHINO, Erasmo. Fetal anemia, current diagnosis and management. Rev. peru. ginecol. obstet. [online]. 2019, vol.65, n.4, pp.511-517. ISSN 2304-5132.  http://dx.doi.org/10.31403/rpgo.v65i2211.

Fetal anemia is a rare condition that can be potentially lethal to the fetus, unless timely diagnosis and management take place. Etiology varies from autoimmune (Rh isoimmunization) to infectious (parvovirus B19) disorders, hemoglobinopathies, fetal-maternal hemorrhage and complications of monochorionic pregnancies. Diagnosis may be by invasive (cordocentesis) or non-invasive (medial cerebral artery peak systolic velocity - MCA-PSV) methods, although the latter is preferred. Treatment consisting in intrauterine transfusion achieves a survival of up to 90% without neurological sequelae. This article reviews the definition, classification, etiology, diagnosis and updated management of fetal anemia.

Keywords : Fetal anemia; Ultrasonography; Doppler.

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