The Journal of Maternal-Fetal & Neonatal Medicine · Available online 18 Jun 2026 · In press · DOI 10.1080/14767058.2026.2689204
Yuchi Gao, Guikai Duan, Qinglin Ma, Yuanbin Lu
Introduction Fetomaternal hemorrhage (FMH), a life-threatening obstetric complication with high concealment and poor prognosis, is mostly postnatally diagnosed.Case report This case reports the 30 years old primigravida at 32 + 1 weeks, preoperatively identified with FMH via combined indicators: markedly elevated maternal serum alpha-fetoprotein (AFP) (16698.2 μg/L post-dilution), decreased fetal movement, two non-reassuring fetal heart rate tracings, and polyhydramnios. Emergency cesarean section was done. The neonate had severe anemia (Hb 5.9 g/dL) and metabolic acidosis, with Hb rising to 137 g/dL after 26 mL packed red blood cell transfusion. Maternal K-B test confirmed 1.1% fetal Hb (116 mL blood loss). The neonate was discharged at 40 + 2 weeks corrected gestational age.Conclusion This case emphasizes that the integration of multiple prenatal clinical and laboratory cues facilitates early detection of FMH, thereby contributing to improved perinatal prognosis.
Abstract from DOAJ. Public domain (CC0 1.0).
Read the article at the publisher →
Gao, Y., Duan, G., Ma, Q., et al. (2026). Fetomaternal hemorrhage: a case highlighting the significance of multifaceted prenatal detection and timely intervention. The Journal of Maternal-Fetal & Neonatal Medicine. https://doi.org/10.1080/14767058.2026.2689204