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The Significance of Hemepigments in Amniotic Fluid

From the Departments of Obstetrics and Gynecology, Saint Thomas Hospital and Vanderbilt University School of Medicine, Nashville, Tenn.

Abstract

Tracings produced from amniotic fluid obtained from pregnancies in which the fetus was in the terminal stages of hydrops fetalis are compared to tracings produced from amniotic fluid contaminated with hemolyzed blood. The similarities in the tracings are produced by hemepigments which have gained access into the amniotic fluid from contamination on the one hand, or from overwhelming intrafetal hemolysis on the other. The gross appearance of amniotic fluid in the case of contamination is that the fluid is brown or red-brown and cloudy, and in the case of intrafetal hemolysis the fluid is deep yellow and clear.