Madu Anthony Emeka
Women and Children's Hospital, Hull Royal Infirmary, Hull, UK.
J Matern Fetal Neonatal Med. 2013 Jul;26(11):1076-81. doi: 10.3109/14767058.2013.767890. Epub 2013 Feb 19.
Feto-maternal transfusion (FMT) or haemorrhage occurs when there is an entry of fetal blood into the maternal circulation in pregnancy or during delivery. It has been stated that very small amount of fetal red cells are normally detectable in maternal circulation in all pregnancies. However, massive FMT is rare and even rarer is the resultant severe anaemia which may cause severe fetal morbidity or early neonatal death in apparently uneventful normal pregnancy. Massive FMT is regarded as a pathological condition with a variety of clinical presentations essentially secondary to the fetal anaemia. We present a case of FMT associated with umbilical vein dilation and speculate whether this finding is of prognostic value.
胎儿-母体输血（FMT）或出血发生在孕期或分娩时胎儿血液进入母体循环的情况下。据报道，在所有妊娠的母体循环中通常都能检测到极少量的胎儿红细胞。然而，大量胎儿-母体输血很少见，而由此导致的严重贫血更是罕见，这种严重贫血可能在看似正常的妊娠过程中导致严重的胎儿发病或早期新生儿死亡。大量胎儿-母体输血被视为一种病理状态，有多种临床表现，主要继发于胎儿贫血。我们报告一例与脐静脉扩张相关的胎儿-母体输血病例，并推测这一发现是否具有预后价值。
