Paper Information

Journal:   JOURNAL OF MEDICAL COUNCIL OF I.R.I.   Spring 2003 , Volume 21 , Number 1; Page(s) 40 To 43.
 
Paper: 

THE INCIDENCE OF FETOMATERNAL HEMORRHAGE IN PATIENTS UNDERGOING NORMAL VAGINA.L DELIVERY AND CESAREAN SECTION

 
 
Author(s):  MADANI S.H., MIRNATEGHI M.
 
* 
 
Abstract: 

To determine the incidcnce of fetomaternal hemorrhage (FMH)in patients undergoing normal vaginal delivery (NVD) and cesarean section (C/S), Kleihauer - Btke test was performed in 208 paturients Comprising 125 patients (60.0%) undergoing NVD and 83 patients (39.9%) undergoing C/S. Some degree of hemorrhage Was detected in 18.8% of patients with 15.9% demonstrating up to 24 ml of FMH. 1.9% demonstrating 25 to 30 ml of FMH and 1%. demostrating significant (greater than 30 ml) FMH. The incidence or FMH in NVD patients was 12.1% and in C/S patients was 6.7%. The mean value or FMH in NVD patients was 11.4 ml and in C/S patients was 13.7 ml .
Statistical analysis or two groups reveal no difference in "mean ". In our stndy, however, necessary doses or the drug (300 microgram) would adequately protect from Rh sensitization in patients with less 30 ml of FMH, so this determination is mandatory for all Rh negative parturients.

 
Keyword(s): FETOMATERNAL HEMORRHAGE KLEIHAUER- BETKE TEST RHOGAM
 
References: 
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