How is an intrauterine blood transfusion done?

How is an intrauterine blood transfusion done?

Transfusions can be given through the fetal abdomen or, more commonly, by delivering the blood into the umbilical vein or artery. Umbilical cord vessel transfusion is the preferred method, because it permits better absorption of blood and has a higher survival rate than does transfusion through the abdomen.

Which procedure is used for fetal blood transfusion?

An Intrauterine transfusion (IUT) is a procedure that provides blood to a fetus, most commonly through the umbilical cord. It is used in cases of severe fetal anemia, such as when fetal red blood cells are being destroyed by maternal antibodies.

What is intrauterine fetal blood transfusion?

An intrauterine transfusion provides blood to an Rh-positive fetus when fetal red blood cells are being destroyed by the Rh-sensitized mother’s immune system. This treatment is meant to keep the fetus healthy until the baby is mature enough to be delivered.

What is the CPT code for intrauterine fetal transfusion?

1. Intrauterine fetal transfusion (CPT 36460), using either IPT or IVT methods.

What is Rh factor?

Rhesus (Rh) factor is an inherited protein found on the surface of red blood cells. If your blood has the protein, you’re Rh positive. If your blood lacks the protein, you’re Rh negative. Rh positive is the most common blood type.

What is intraperitoneal transfusion?

Intraperitoneal transfusion was first reported by Liley [1] in 1963 and relies on injecting red cells into the peritoneal cavity. These cells are transported through the lymphatic system to the fetal circulation. This absorption may be impeded in case of severe hydrops.

What does Cordocentesis test for?

Cordocentesis is used primarily to detect and treat blood conditions, such as fetal anemia — a low amount of healthy red blood cells in a developing baby. Cordocentesis is usually done when a diagnosis can’t be made from amniocentesis, chorionic villus sampling, ultrasound or other methods.

What is the correct CPT code for induced abortion by dilation and evacuation?

59841, induced abortion, by dilation and evacuation.

What is O rhesus D positive?

If you’re rhesus positive (RhD positive), it means that a protein (D antigen) is found on the surface of your red blood cells. Most people are RhD positive. If you’re rhesus negative (RhD negative), you do not have the D antigen on your blood cells.

What indications are more important for the intraperitoneal transfusion?

The two most common indications for intrauterine blood transfusion are fetal anemia due to red cell immunization and parvovirus B19 infection in pregnancy. When considering IUT for fetal anemia due to other (rare) diseases, a careful individual risk-benefit analysis must be made each time.