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October 1974, Vol 128, No. 4 >
Article | October 1974

Radiological Case of the Month FREE

John L. Gwinn, MD; Fred A. Lee, MD; Michael G. Blackburn, MD; Thomas J. Spackman, MD
[+] Author Affiliations

Received for publication Dec 26, 1973; accepted March 25, 1974.

Reprint requests to Children's Hospital of Los Angeles, 4650 Sunset Blvd, PO Box 54700, Los Angeles, CA 90054 (Dr. Gwinn).


Am J Dis Child. 1974;128(4):521-522. doi:10.1001/archpedi.1974.02110290091016.
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Clinical History.—A 2,500-gm (5.6-lb) boy was born by elective cesarean section after 38 weeks' gestation. The mother was gravida 4 Para 3, and O Rh negative. Rh sensitization had been documented in the mother during her second and subsequent pregnancies. The last previous pregnancy had terminated in the spontaneous birth of an 820-gm (1.8-lb) stillborn. The present pregnancy was carried to 38 weeks; during that time, six separate intrauterine transfusions were performed.

Physical Examination.—At birth, the patient gave a brief initial cry, then spontaneous respirations ceased. The heart rate decreased to 80 beats per minute and he rapidly became cyanotic. The Apgar score at one minute was 4. He was intubated and successfully ventilated with use of a bag for approximately 2 minutes before the onset of spontaneous respirations and a return of the heart rate to 160 beats per minute. The Apgar score at 5 minutes was

REFERENCES

1 +
Liley AW:  Intra-uterine transfusion of foetus in haemolytic disease . Br Med J 2:1107-1109, 1963;.
Link to Article
2 +
Ross Conference: Intra-uterine transfusion and erythroblastosis fetalis. Aspen, Colo, March 1966.
3 +
Queenan JT: Modern Management of the Rh Problem . New York, Harper & Row Publishers Inc, 1970;, pp 152-218.
4 +
Wesenberg RL: The Newborn Chest . Hagerstown, Md, Harper & Row Publishers Inc, 1973;, pp 151-152, 181-186, 199-202.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Liley AW:  Intra-uterine transfusion of foetus in haemolytic disease . Br Med J 2:1107-1109, 1963;.
Link to Article
2 +
Ross Conference: Intra-uterine transfusion and erythroblastosis fetalis. Aspen, Colo, March 1966.
3 +
Queenan JT: Modern Management of the Rh Problem . New York, Harper & Row Publishers Inc, 1970;, pp 152-218.
4 +
Wesenberg RL: The Newborn Chest . Hagerstown, Md, Harper & Row Publishers Inc, 1973;, pp 151-152, 181-186, 199-202.

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