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Obstetrics & Gynecology 1969;34:156-160
© 1969 by The American College of Obstetricians and Gynecologists
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Criteria for Intrauterine Fetal Transfusion

MACLYN E. WADE, MD, FACOG, JOHN A. OGDEN, MD and CLARENCE D. DAVID, MD, FACOG

From the Departments of Obstetrics and Gynecology and of Surgery, Yale University School of Medicine and Yale-New Haven Medical Center, New Haven, Conn

Abstract

Evaluation of the results of 124 fetal transfusions carried out for erythroblastosis in 58 gravidas on the basis of a modified Liley chart enabled comparison with the reports contained in a cooperative study involving 1097 such transfusions in 607 patients. The presence of fetal ascites and/or hydrops at the time of first transfusion portends poor prognosis. Premature rupture of the membranes should not preclude fetal transfusion if it is indicated. Such transfusion has life-saving value as early as at 20 weeks' gestation if criteria are present and ascites absent.






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Copyright © 1969 by the American College of Obstetricians and Gynecologists.