Abstract

USCANGA-CARRASCO, Herminia et al. Nonimmune hydrops fetalis: case report. Bol. Med. Hosp. Infant. Mex. [online]. 2009, vol.66, n.6, pp.537-544. ISSN 1665-1146.

Background: Hydrops fetalis is a clinical condition characterized by an abnormal fluid accumulation in soft tissues and in some serous cavities of the fetus. It is important to know beforehand if this condition is present in order to establish the most probable origin and to be prepared to administer optimal reanimation management of the neonate at birth. The care given to a newborn with hydrops fetalis is always a challenge for the neonatologist. Case report. We present the case of a pregnant, non-isoimmunized patient with RhO negative blood type. The following conditions were associated with her pregnancy: severe anemia, hypoalbuminemia, and preeclampsia/eclampsia. Delivery was accomplished with Cesarean section where a female neonate of 32 weeks gestation was delivered. Non-immune hydrops fetalis was present. Conclusions. We present recommendations for optimal diagnosis and therapy.

Keywords : non-immune; hydrops fetalis; preclampsia/ eclampsia; hypoalbuminemia; anemia; prematurity.