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Fetomaternal hemorrhage: a case highlighting the significance of multifaceted prenatal detection and timely intervention

Year: 2026

Type: article

Abstract: INTRODUCTION: Fetomaternal hemorrhage (FMH), a life-threatening obstetric complication with high concealment and poor prognosis, is mostly postnatally diagnosed. CASE REPORT: 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.

Source: The Journal of Maternal-Fetal & Neonatal Medicine

DOI: 10.1080/14767058.2026.2689204

Authors: Yuchi Gao, Guikai Duan, Qinglin Ma, Yuanbin Lu

Institutions: Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Guangdong Pharmaceutical University, Shenzhen Bao'an District Songgang People's Hospital

Language: English

Topic: Maternal and fetal healthcare

Subfield: Pediatrics, Perinatology and Child Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

Funder: Basic and Applied Basic Research Foundation of Guangdong Province