Intrauterine fetal transfusion

Intrauterine transfusion is a life saving procedure in severe cases of Rh isoimmunization. It may be technically difficult and poses a real hazard to the fetus. The authors used a closed technique indirect needle placement, similar to that described by Liley, in 60 transfusions in 34 babies. Survival rates of around 30% can be expected. Details of the selection of patients and techniques used are presented as well as a discussion of the dangers and complications. References to alternative techniques are listed from a comprehensive review of the literature. This procedure has a place in teaching institutions as it will be many years before Rh sensitization is eliminated by the use of prophylactic immune globulin. 78 references are cited.