Noninvasive diagnosis of fetal anemia and fetal intravascular transfusion therapy: experiences at Siriraj Hospital.

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dc.contributor.authorWataganara, Tuangsiten_US
dc.contributor.authorWiwanichayakul, Boorayaen_US
dc.contributor.authorRuengwuttilert, Pornpimolen_US
dc.contributor.authorSunsaneevithayakul, Praserten_US
dc.contributor.authorViboonchart, Sommaien_US
dc.contributor.authorWantanasiri, Charnchaien_US
dc.date.accessioned2009-05-27T20:31:02Z
dc.date.available2009-05-27T20:31:02Z
dc.date.issued2006-07-03en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractTraditionally, when fetal hydrops are found along with certain markers indicating fetal anemia, fetal blood sampling would be performed through cordocentesis to confirm the diagnosis. This procedure, however comes with an inherent risk of losing the whole pregnancy. When anemia was verified, treatment options were limited and the prognosis was grim. In this article, the authors described their experiences of using prenatal Doppler studies as a noninvasive venue in the diagnosis and treatment of fetal anemia. Once the diagnosis of fetal anemia is made, the patient will be asked to undergo an algorithm to investigate the definite cause of anemia, along with simultaneous ultrasound-guided intravascular fetal transfusion in selected cases. The authors selected two cases of fetal anemia of different etiologies and treatment outcomes to demonstrate the significance of early diagnosis and intervention. Review of the relevant medical literatures and the proposed algorithms were also provided.en_US
dc.description.affiliationDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. sitwg@mahidol.ac.then_US
dc.identifier.citationWataganara T, Wiwanichayakul B, Ruengwuttilert P, Sunsaneevithayakul P, Viboonchart S, Wantanasiri C. Noninvasive diagnosis of fetal anemia and fetal intravascular transfusion therapy: experiences at Siriraj Hospital. Journal of the Medical Association of Thailand. 2006 Jul; 89(7): 1036-43en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/43141
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdulten_US
dc.subject.meshAlgorithmsen_US
dc.subject.meshAnemia --therapyen_US
dc.subject.meshBlood Flow Velocityen_US
dc.subject.meshBlood Transfusion, Intrauterineen_US
dc.subject.meshFemaleen_US
dc.subject.meshFetal Diseases --therapyen_US
dc.subject.meshHumansen_US
dc.subject.meshPregnancyen_US
dc.subject.meshUltrasonography, Prenatalen_US
dc.titleNoninvasive diagnosis of fetal anemia and fetal intravascular transfusion therapy: experiences at Siriraj Hospital.en_US
dc.typeCase Reportsen_US
dc.typeJournal Articleen_US
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