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Clinical Expert Series Fetomaternal Hemorrhage Blair J. Wylie, MD, MPH, and Mary E. Dalton, MD Ob stet General 2010;115(5) ACME Accreditation The American College of Obstetricians and Gynecologists
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How to fill out fetomaternal hemorrhage?

01
Start by gathering the necessary information: The first step in filling out a fetomaternal hemorrhage form is gathering all relevant information. This includes the patient's details, such as their name, age, and medical history. Additionally, you will need information about the pregnancy, such as the gestational age and any complications that may have occurred.
02
Assess the severity of the hemorrhage: Next, you will need to assess the severity of the fetomaternal hemorrhage. This involves determining the volume of maternal blood that has entered the fetal circulation. Various tests, such as Kleihauer-Betke test or flow cytometry, can be used to measure the extent of the hemorrhage.
03
Calculate the appropriate dosage of Rh immune globulin (RhIg): Depending on the severity of the hemorrhage and the mother's Rh status, RhIg may need to be administered. This medication helps prevent Rh sensitization in Rh-negative mothers carrying Rh-positive fetuses. The dosage of RhIg is determined based on the volume of fetomaternal hemorrhage.
04
Administer RhIg if necessary: If the calculation indicates that RhIg should be given, it is important to administer it promptly. RhIg is typically given intramuscularly within 72 hours of the fetomaternal hemorrhage to prevent the mother's immune system from producing antibodies against Rh-positive red blood cells.

Who needs fetomaternal hemorrhage?

01
Pregnant women with known or suspected hemorrhage: Fetomaternal hemorrhage can occur in pregnant women due to various reasons, such as trauma, placental abnormalities, or certain medical conditions. Those who experience bleeding during pregnancy or have risk factors for hemorrhage should be evaluated for fetomaternal hemorrhage.
02
Rh-negative mothers carrying Rh-positive fetuses: One specific group that needs to be aware of fetomaternal hemorrhage are Rh-negative women carrying Rh-positive babies. If fetal red blood cells enter the mother's bloodstream, her immune system may produce antibodies that can harm future pregnancies. RhIg administration is typically recommended in these cases to prevent Rh sensitization.
03
Healthcare professionals involved in prenatal care: Healthcare professionals involved in prenatal care, such as obstetricians, midwives, and nurses, need to be knowledgeable about fetomaternal hemorrhage and its management. They should be able to recognize the signs and symptoms, appropriately assess the severity, and ensure that appropriate interventions are implemented to protect both the mother and the fetus.
In summary, filling out a fetomaternal hemorrhage form involves gathering relevant information, assessing the severity of the hemorrhage, calculating the appropriate dosage of RhIg if necessary, and administering it promptly. This procedure is necessary for pregnant women with known or suspected hemorrhage, especially Rh-negative women carrying Rh-positive fetuses. Healthcare professionals involved in prenatal care should also have awareness of fetomaternal hemorrhage and its management.
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Fetomaternal hemorrhage is the transfer of fetal blood cells into the maternal circulation during pregnancy or delivery.
Healthcare providers and medical facilities are required to file fetomaternal hemorrhage.
The form for reporting fetomaternal hemorrhage should be completed with detailed information about the incident.
The purpose of reporting fetomaternal hemorrhage is to monitor and track cases for research and statistical analysis.
Details such as the amount of fetal blood transferred, maternal response, and any complications should be reported on fetomaternal hemorrhage.
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