USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

(Kiana) #1

Treatment. Intrauterine transfusion for severe fetal anemia (only intervention
available)


A   positive    IgG and negative    IgM is  consistent  with    maternal    immunity    so  the
fetus is protected.
A positive IgM antibody is consistent with acute infection and should initiate
obstetric ultrasound assessment starting at 22 weeks, looking for evidence of
fetal hydrops as well as fetal Doppler screening for anemia.

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