Placental abruption with certified fetomaternal hemorrhage after traffic injury

Abstract

We report a case of patients with placental abruption which certified fetomaternal hemorrhage (FMH) after traffic injury. A 21-year-old multipara was admitted to private clinic after traffic accident on 29th week gestation. Cardiotocogram (CTG) showed sinusoidal-like pattern with tachycardia and she was transferred to our hospital. Her injury was also not severe, but due to abnormal CTG suggesting massive FMH, immediate cesarean section was performed. The infant was saved with the umbilical cord artery blood pH=7.243, and a maternal good postoperative course was observed. FMH was proved by maternal serum concentrations of hemoglobin F and alpha fetoprotein.