Immune hydrops fetalis

Authors :: Jojić Dragica
Predojević-Samardžić Jelica
Guzijan Gordana
Petrović-Tepić Snežana
Source :: Scripta Medica, Vol 46, Iss 1, Pp 80-83 (2015)
Publication Year :: 2015
Publisher :: Medical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of Medicine, 2015.
Abstract: Hydrops fetalis is a serious condition indicating a bad prognosis of affected fetuses. Incidence of immune hydropsfetalis is significantly decreasing, whereas more and more non-immune hydropsfetalisis are identified. We described a case of the most difficult manifestation of hemolytic disease of a newborn due to rhesus incompatibility. Immune hydrops fetalis occurred due to inadequate immune prophylaxis. While treating the newborn, we applied exchange transfusion, additional transfusion and immunoglobulin therapy. With sensitized pregnant patients, it is necessary to regularly monitor the condition of fetus and titer of mother's antibodies. Considering a difficulty of affected fetuses' disease, it is necessary to strengthen preventive measures by application of rhesus immunoglobulin with affected Rh negative mothers.