TY - BOOK AU - Shaimaa Mohamed Abdelshafi Eltayeb Elithy AU - Ahmed Nehad Hatem Askalani , AU - Ahmed Zakaria Elsheikhah , AU - Mohamed Hassan Mostafa , TI - Detection of Rh isoimmuinzation fetal anemia, the need for ultrasound guided intrauterine fetal blood transfusion and its effect on neonatal outcome / PY - 2017/// CY - Cairo : PB - Shaimaa Mohamed Abdelshafi Eltayeb Elithy , KW - Neonatal outcome KW - Rh isoimmuinzation fetal anemia KW - The need for ultrasound guided intrauterine fetal blood transfusion N1 - Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Gynecology and Obstetrics; Issued also as CD N2 - Recently, study suggested that measuring the fetal middle cerebral artery peak systolic velocity (MCA-PSV) could be used in the clinical management of isoimmunized pregnancies to identify the anemic fetus for timely intervention either through early delivery or intrauterine blood transfusion (Mari et al., 2000). The complications of Rh sensitization including fetal / neonatal hemolytic disease leading to neonatal jaundice in the mild cases, kernicterus and cerebral palsy, neonatal death, need for exchange transfusions, hydrops fetalis and finally intrauterine death in the severe cases. Prognosis in subsequent pregnancy is considered worse as fetal anemia sets in 8-10 weeks earlier than in previous pregnancy (Hajdu et al., 2003). Intrauterine blood transfusion of anemic fetuses represents one ofthe great successes of fetal therapy. The first approach was intraperitoneal blood ER -