Fetal Diagnosis and Therapy · 2009 · 11 citations · 0 references
MedicineImmunologyObstetricsMaternal-fetal MedicineObstetric ComplicationsReproductive ImmunologyBlood Transfusion In ObstetricsFetal PathologyIntrauterine Growth RestrictionMaternal Medical Complications In PregnancyPerinatal PathologyAlloimmunization In PregnancyIntrauterine Growth RetardationObstetric Management Of AlloimmunizationSubchorionic Hematoma EvaluationSubchorionic HemorrhageTransfusion Medicine In Pregnancy
Anti-TJa alloimmunization is an extremely rare condition which can cause miscarriages during the first and second terms of pregnancy. At 20-year-old female patient, an anti-TJa carrier, was given plasma transfusions in the course of her first two pregnancies. The cordocentesis, which was the main follow-up test during the first pregnancy, could not be carried out during the second pregnancy due to the presence of a huge subchorionic hematoma. Both pregnancies were characterized by fetal growth retardation, which was particularly considerable in one. Due to chronic fetal distress, both infants were delivered prematurely by cesarean section. The immunohematological data concerning anti-TJa alloimmunization and the different palliative treatments available to date are reviewed.