Place Janet C, Plano Lisa R W
J Obstet Gynecol Neonatal Nurs. 2015 Nov-Dec;44(6):737-42. doi: 10.1111/1552-6909.12761. Epub 2015 Oct 15.
Fetomaternal hemorrhage is a rare, potentially catastrophic event for a fetus. Leakage of the fetus's blood into the mother's circulation can cause fetal anemia, hydrops, and even death. The prevailing symptom is decreased fetal movement, and signs can include a sinusoidal electronic fetal monitor pattern, a positive Kleihauer-Betke test, or changes in fetal Doppler blood flow. A mother's report or perception of decreased fetal movement coupled with a nonreactive nonstress test or abnormal ultrasound findings should prompt an investigation into underlying causes.
胎儿-母体出血对胎儿来说是一种罕见的、可能带来灾难性后果的事件。胎儿血液漏入母亲的循环系统可导致胎儿贫血、水肿甚至死亡。主要症状是胎动减少，体征可能包括正弦波型电子胎儿监护图形、Kleihauer-Betke试验阳性或胎儿多普勒血流变化。母亲报告或感觉到胎动减少，再加上无应激试验无反应或超声检查结果异常，应促使对潜在原因进行调查。
