A Rhesus disease B Parvovirus infection
C Beta thalassaemia D Sickle cell disease
E Syphilis infection F Congenital heart disease
G Idiopathic H Congenital diaphragmatic hernia
I Twin-to-twin transfusion syndrome J Congenital toxoplasmosis
K Alpha thalassaemia L Chronic feto-maternal haemorrhage
Instructions: For each of the case histories described below, choose the single most likely cause of fetal hydrops from the above list of options. Each option may be used once, more than once, or not at all.
Question 24 A 34 year old woman with a dichorionic diamniotic twin pregnancy presents for a growth scan at 34 weeks gestation. Twin 1 is found to be hydropic but structurally normal. Twin 2 is normal. Kleihauer test is positive and all other investigations are negative Your answer: A
Correct answer: L
WAT IS DIFF BETWEEN CHR FETO MAT HAGE AND RHESUS DISEASE?
THE FETUS DEVELOPED HYDROPS.
SO THIS IS RH ISOIMMUNIZATION .RIGHT?
DICHORIONIC PREG MEANS THAT ONE MAY BE RH POSITIVE AND OTHER RH NEG.
HENCE HERE THE FETUS 1 - THE POS ONE- IS HYDROPIC.
AND WHAT SHOULD BE THE MANAGEMENT IN SUCH CLINICAL SCENARIO?
Posted by H P.
Dear Dr Paul,
I also have the same query regarding rhesus disease and chronic fetomaternal haemorrhage.
Had it not been for the rhesus isoimmunisation, chronic haemorrhage wouldnt have caused hydrops, right?
