I004 Maternal Death Review (MDR): A Veritable Tool for Sustainable Reduction of Maternal Mortality Ratio (MMR) in Nigeria (original) (raw)

International journal of gynaecology and obstetrics, 2012

Abstract

the neonatal back up facility was not up to the mark to take care of 33 week fetus after delivery. Proper knowledge of Rh negative mother management to obstetricians, avoiding leuco depletion & irradiation of the blood products, simple spinal needle in case of Anterior Placenta, and 10 to 15% over correction of fetal Hb during in utero fetal transfusion and also keeping the fetus in utero as late as possible are the keys to reduce the cost. We are also following up the children after in utero transfusion with over correction for neurological and hematological outcome. Till the age of 4 years no problems were noted. Larger multi centric trials are required to establish the in utero fetal transfusion with over correction of fetal hemoglobin to reduce the number of procedure and the total treatment more cost effective.

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