A preterm neonate with fetal anemia and immune hydrops fetalis requiring intrauterine transfusion and postnatal exchange transfusion: a case report

Bhavya Patel; Abhijit Mehta; Binoy Shah; Ashish Mehta; Manish Shah

doi:10.18203/2320-1770.ijrcog20241794

Authors

Bhavya Patel Department of Neonatology, Arpan Newborn Care Pvt. Ltd., Ahmedabad, Gujarat, India
Abhijit Mehta Department of Pediatrics Surgery, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India
Binoy Shah Department of Neonatology, Arpan Newborn Care Pvt. Ltd., Ahmedabad, Gujarat, India
Ashish Mehta Department of Neonatology, Arpan Newborn Care Pvt. Ltd., Ahmedabad, Gujarat, India
Manish Shah Department of Neonatology, Arpan Newborn Care Pvt. Ltd., Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20241794

Keywords:

Immune hydrops fetalis, Rhesus incompatibility, Intrauterine transfusion, Exchange transfusion

Abstract

Hydrops fetalis is a presenting illness with various immune and non-immune etiologies. It involves fluid accumulation in body cavities, and symptoms specific to its underlying cause. In this case, we report on a preterm neonate with a history of bad obstetrics who presented with hydrops fetalis due to fetal anemia related to RH incompatibility. The patient received an intrauterine transfusion for severe fetal anemia and subsequently required NICU admission. Routine preterm care was provided, along with specific management for jaundice resulting from isoimmune hemolytic anemia.

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