Author:
Zheng Yushuang,Li Donglu,Li Xinran,Zheng Aman,Wang Fan
Abstract
Abstract
Background
Massive fetomaternal hemorrhage (FMH) is a rare event during pregnancy that may cause severe fetal anemia or death.
Case presentation
This paper reports two cases of fetomaternal hemorrhage with unexplained reasons. Both cases required emergency caesarean sections for non-reassuring fetal status and were treated with neonatal blood transfusion. Fetomaternal hemorrhage was confirmed via maternal Kleihauer-Betke test.
Conclusion
We found parenchymal pallor, increased nucleated red blood cells (nRBCs), and syncytial knots (SKs) in the placentas, which are compatible with fetal anemia. Immunohistochemical staining indicated VEGF, CD34, and CD31 expression in the endothelial cells of the capillaries, characteristic of massive FMH placenta. This article also reviews the particular histopathological changes in FHM placenta according to the placental lesion classification system.
Funder
the Projects of the Medical and Health Technology Program of Zhejiang Province
Publisher
Springer Science and Business Media LLC
Subject
Obstetrics and Gynecology