Hydrops fetalis Flashcards
1
Q
Definition
A
Excess serous fluid in at least 2 different compartments
2
Q
Immune causes
A
Rhesus group incompatibility
ABO incompatibility
3
Q
Non immune causes
A
Alpha thalassaemia Twin twin transfusion CHD Trisomies Turners Gaucher's disease TORCH infections Parvovirus B19
4
Q
Complications of hydrops fetalis
A
Intrauterine death ~50%
Polyhydramnios
5
Q
Appearance of baby born with hydrops fetalis
A
Oedema Respiratory distress Pale Jaundice Bruised Hepatosplenomegaly
6
Q
Maternal complication of hydrops fetalis
A
Mirror syndrome - life threatening HTN requiring immediate delivery
7
Q
Management of hydrops fetalis during pregnancy
A
Can try intrauterine blood transfusion
Induce early
8
Q
Management of hydrops fetalis after delivery
A
Remove excess fluid with needle Transfusions as required Ventilation as required Treat underlying condition Give diuretics and other HF medication
