Difficulties in the diagnosis of feto-maternal bleeding in the antenatal period

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Abstract


Feto-maternal hemorrhage (FMH) is a rare, potentially dangerous event characterized by the passage of fetal blood into the maternal circulation, complicating pregnancy or childbirth. Diagnosis of this condition is based on objective signs: cardiotocography, fetal ultrasound, fetal Doppler, Kleihauer–Betke test (KB) and subjective: assessment of fetal movement activity. If a pregnant woman complains of decreased fetal movement, an experienced doctor should not forget to exclude this dangerous condition. Massive FMH is associated with high perinatal morbidity and fetal mortality.


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About the authors

Anatoliy I. Ishchenko

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: 7205502@mail.ru
ORCID iD: 0000-0003-3338-1113

Russian Federation, Moscow

MD, PhD, Professor

Andrey V. Murashko

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Author for correspondence.
Email: murashkoa@mail.ru
ORCID iD: 0000-0003-0663-2909
SPIN-code: 2841-9638

Russian Federation, Moscow

MD, PhD, DSci., Professor, Head of the Department of pathology of pregnancy of the V.F. Snegirev Clinic of Obstetrics and Gynecology of the I.M. Sechenov First Moscow State Medical University, Moscow, prof. Department of Obstetrics and Gynecology No. 1 Institute of Clinical Medicine N.V. Sklifosovsky of the I.M. Sechenov First Moscow State Medical University

Tat’yana A. Seredina

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: vtrk@yandex.ru

Russian Federation, Moscow

MD, PhD

Alena D. Minakova

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: a.minackova2016@yandex.ru

Russian Federation, Moscow

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Supplementary files

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Fetal cardiotocography - sinusoidal heart rate.

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