Research Article

Diagnosis of Severe Fetal Anemia Based on Perinatal Outcomes: A Comparative Analysis of the Current Reference Values

Table 1

Characteristics of alloimmunized pregnancies included in the study.

Gestational and perinatal characteristics ValuesVariation or %

Maternal age, years (mean ± SD)105 19 to 43
Parity (median, range)10541 to 11
Anti-D antibodies (alone), (%)995454.5%
Anti-D + anti-C antibodies, (%)993232.5%
GA, weeks, at first cordocentesis (mean ± SD)105 19 to 34
Fetal hemoglobin (g/dL), at first cordocentesis (mean ± SD)105 2.2 to 16.4
Fetal severe anemia (>7.0 g/dL hemoglobin deficit)*, (%)10524 22.9%
Fetal severe anemia (≥5.0 g/dL hemoglobin deficit)**, (%)10541 39.1%
Fetal severe anemia (hemoglobin < 0.55 MoM***, (%)10530 28.6%
Fetal pH, at first cordocentesis (median, range)1017.357.07–7.49
Fetal hydrops at first cordocentesis, (%)1052624.8%
Perinatal mortality, (%)1052019.1%
Apgar 5 (median, range)899 2 to 10

Nicolaides et al. [11], **Bahado-Singh et al. [12], and ***Mari et al. [10]; SD: standard deviation, GA: gestational age.