Extreme asphyxia pallida following a normal, spontaneous delivery was found to be simply hemorrhagic shock. The unsuspected anemia was discovered 12 hours after delivery. Transplacental loss of nearly two thirds of the baby's blood into the mother's circulation was documented by hematologic studies.
McGowan GW. Massive Transplacental Hemorrhage With Neonatal Death. JAMA. 1968;203(8):599–601. doi:10.1001/jama.1968.03140080059019
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