Fetal ascites associated with ABO incompatibility: Case report and review of the literature☆,☆☆,★
Section snippets
CASE REPORT
The patient, a 32-year-old woman (gravida 2, para 1-0-0-1), had type O, Rh-positive blood. She was referred to our High-Risk Pregnancy Unit at 35 weeks' gestation with spontaneous rupture of membranes. The pregnancy had been uncomplicated until 2 days before admission, when fundal size appeared greater than expected and an ultrasonographic examination revealed fetal ascites and polyhydramnios. Results of a previous ultrasonographic examination performed at 23 weeks' gestation had been reported
COMMENT
ABO incompatibility is a common hematologic problem in newborns. Approximately 20% to 25% of pregnancies are at risk for ABO incompatibility, with mothers having anti-A or anti-B antibodies and their infants having the respective antigens. Newborns with the disease may have no symptoms or may have symptoms of hyperbilirubinemia, anemia, or cholestasis. Mild ABO incompatibility occurs in approximately 1 of 150 births, and severe disease is seen in approximately 1 of 3000 births.
ABO
References (3)
- et al.
Severe fetal hydrops resulting from ABO incompatibility
Am J Obstet Gynecol
(1991)
Cited by (0)
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From the Section of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology,a and the Section of Neonatology, Department of Pediatrics,b Bridgeport Hospital.
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Reprint requests: Robert J. Stiller, MD, Section of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610.
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0002-9378/96 $5.00 + 0 6/1/75729