Donald School Journal of Ultrasound in Obstetrics and Gynecology

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VOLUME 5 , ISSUE 4 ( October-December, 2011 ) > List of Articles

REVIEW ARTICLE

Noninvasive Diagnostics of Fetal Anemia

Badreldeen Ahmed, Oliver Vasilj

Keywords : Doppler,Fetal anemia,Middle cerebral artery peak,Rh-isoimmunization,Systolic velocity,Ultrasound

Citation Information : Ahmed B, Vasilj O. Noninvasive Diagnostics of Fetal Anemia. Donald School J Ultrasound Obstet Gynecol 2011; 5 (4):353-355.

DOI: 10.5005/jp-journals-10009-1213

License: CC BY-NC 4.0

Published Online: 00-12-2011

Copyright Statement:  Copyright © 2011; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Even though the use of anti-D immunoglobulin has dramatically decreased the incidence of hemolytic disease of fetus and newborn, it still remains a significant cause of fetal and neonatal morbidity and mortality. The main challenge facing fetal medicine specialists today is not the skill required for invasive therapy, but rather the noninvasive monitoring of the disease so that its progress can be predicted to guide the need and timing of intrauterine transfusions to minimize unnecessary invasive testing. In previous years many different diagnostic tests were proposed but the assessment of middle cerebral artery peak systolic velocity still stands as a gold standard for noninvasive assessment of fetal anemia.


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  1. Red blood cell alloimmunization in pregnancy. Semin Hematol 2005;42:169-78.
  2. Routine antenatal rhesus D immunoglobulin prophylaxis: The results of a prospective 10-year study. Br J Obstet Gynaecol 1999;106: 492-97.
  3. Guideline for blood grouping and antibody testing in pregnancy. London: British Committee for Standards in Haematology (BCSH) 2006.
  4. Management of rhesus alloimmunization in pregnancy. Obstet Gynecol 2002;100:600-11.
  5. Liquor amnii analysis in the management of pregnancy complicated by rhesus sensitization. Am J Obstet Gynecol 1961;82:1359-70.
  6. Enhanced sensitization after fetal blood sampling in Rhesus-isoimmunized pregnancy. Am J Obstet Gynceol 1991;165:382-83.
  7. Noninvasive methods of detecting fetal anaemia: A systematic review and metaanalysis. BJOG 2009;116(12):1558-67.
  8. Diagnosis of fetal anemia with Doppler ultrasound in the pregnancy complicated by maternal blood group immunization. Ultrasound Obstet Gynecol 1995;5:400-05.
  9. Longitudinal measurement of peak systolic velocity in the fetal middle cerebral artery for monitoring pregnancies complicated by red cell alloimmunisation: A prospective multicentre trial with intentionto-treat. BJOG 2002;109:746-52.
  10. Non-invasive diagnosis by Doppler ultrasonography of fetal anemia due to maternal red-cell alloimmunization. N Engl J Med 2000;342:9-14.
  11. Non-invasive diagnosis of fetal anemia due to maternal red-cell alloimmunization. Saudi Med J 2005;26(2):256-59.
  12. Fetal blood velocities in Rh isoimmunization: Relationship to gestational age and to fetal hematocrit. Obstet Gynecol 1986;68:233-36.
  13. Cardiofemoral index as an ultrasound marker of fetal anaemia in isoimmunized pregnancy. Int J Gynaecol Obstet 2008;100:60-64.
  14. Splenic artery Doppler peak systolic velocity predicts severe fetal anemia in rhesus disease. Am J Obstet Gynecol 2000;182:1222-26.
  15. Middle cerebral artery Doppler velocimetric deceleration angle as a predictor of fetal anemia in Rhalloimmunized fetuses without hydrops. Am J Obstet Gynecol 2000;183:746-51.
  16. Management of red cell alloimmunisation in pregnancy: The non-invasive monitoring of the disease. Prenat Diagn 2010;30(7):668-73.
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