A Case Report of Decreased Fetal Movement During Fetomaternal Hemorrhage |
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| Affiliation: | 1. University of Connecticut School of Nursing, Storrs, CT, and a nurse scientist, Connecticut Children’s Medical Center, Hartford, CT.;2. University of Connecticut School of Nursing, Storrs, CT.;3. Department of Allied Health Sciences, University of Connecticut, Storrs, CT.;4. University of Connecticut School of Nursing, Storrs,CT.;5. University of Connecticut School of Nursing, Storrs, CT, and Director of Nursing Research, Institute for Nursing Research and Evidence-Based Practice,Connecticut Children’s Medical Center, Hartford,CT.;6. Director of PhD and Postdoctoral Programs,Duke University School of Nursing, Durham, NC. |
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| Abstract: | Fetomaternal hemorrhage is a rare, potentially catastrophic event for a fetus. Leakage of the fetus’s blood into the mother’s circulation can cause fetal anemia, hydrops, and even death. The prevailing symptom is decreased fetal movement, and signs can include a sinusoidal electronic fetal monitor pattern, a positive Kleihauer-Betke test, or changes in fetal Doppler blood flow. A mother’s report or perception of decreased fetal movement coupled with a nonreactive nonstress test or abnormal ultrasound findings should prompt an investigation into underlying causes. |
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