هيدروپس فتاليس : گزارش دو مورد كودك زنده

HYDROPS FETALIS: REPORT OF THE TWO-LIVING NEONATES

In hydrops fetalis, the affected fetus may show considerable subcutaneous edema, usually associated with ascites and pleural effusion. Severe hemolysis, marked erythroid hyperplasia of the bone marrow and large area of extramedullary hematopoesis, particularly in the spleen and liver which may cause hepatic dysfunction, are the symptoms of hydrops fetalis. Hydrops fetalis is divided to Immune and Non-immune. Immune hydrops fetalis is caused by Rh-system incompatibility and Non-immune is caused by chromosomal abnormality, cardiovascular malformation, skeletal malformation and etc. Ultrasonic evaluation may provide a diagnosis and motherʹs evaluation is controlled by indirect coombʹs and if indirect coombs titer is positive and goes up the fetus must be evaluated by amniocentesis or cordocentesis. If the situation of fetus is hazardous, intrauterine transfusion and termination of pregnancy must be considered. In this report we have two Iiving neonates which had been non-Immune hydrops fetalis and treated by some medical treatment and are now living a normal life.