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February 1967

Intra-uterine Transfusions: Two Interesting Cases

Author Affiliations

Hicksville, NY
From the Department of Pediatrics and Obstetrics, East Nassau Medical Group, Hicksville, NY. Drs. Halitsky, Krumholz, Schwalb, and Schwartz are currently in the Department of Obstetrics and Gynecology, Queens Hospital Center, Jamaica, NY. Dr. Schwalb is also currently in the Department of Pediatrics, Long Island Jewish Hospital, New Hyde Park, NY, and Meadowbrook Hospital, East Meadow, NY. Dr. Gromisch is currently in the Department of Pediatrics, New York Medical College, New York.

Am J Dis Child. 1967;113(2):245-250. doi:10.1001/archpedi.1967.02090170109012

SINCE Liley's introduction of fetal transfusion,1 there has been a complete revision of thought regarding the management of erythroblastosis fetalis. The following two patients illustrate an additional benefit heretofore unreported. In these patients, in utero transfusion eliminated the necessity of postdelivery exchange transfusions. Further, utilization of a new technique for localization of the fetal peritoneal cavity may significantly reduce the risk of fetal damage. These cases also point to the need for establishing new standards for such procedures, for undoubtedly such cases are more common than one is made to think from reviewing the literature. A review of the literature is included.

Report of Cases  Case 1.—A 34-year-old gravida 4 para 3, was first examined in October 1965. Her last menstrual period was on Aug 5, 1965. Physical examination confirmed the presence of an intrauterine gestation consistent with the period of amenorrhea. Laboratory examination revealed type A blood,

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