Читать книгу Protocols for High-Risk Pregnancies - Группа авторов - Страница 100

The patient post fetal transfusion will need fetal monitoring to ascertain a reassuring fetal status, and to evaluate for preterm labor. There are no data to suggest a particular length of monitoring post procedure, but if contractions are noted on tocometry, a 24‐hour observation period on Labor and Delivery would be reasonable. Most centers perform fetal transfusion up to 35 weeks of gestation with delivery anticipated at 37–38 weeks. However, every fetal transfusion carries the risk of a procedure‐related loss, especially in the already compromised fetus, so every decision for repeat transfusion should be individualized.

Once discharged from the hospital, the patient should return for follow‐up sonographic evaluation within a week. Doppler of the fetal middle cerebral artery and other sonographic findings will still guide timing of next procedure.