rh incompatibility…

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erythroblastosis fetalis, photomicrograph, jaundice infant, antibodies, exchange transfusion, rh-induced hemolytic disease, the newborn, hydrops fetalis, rh incompatibility, condition which develops, a pregnant woman has an rh-negative blood type, fetus she carries has rh-positive blood type, pregnancy, red blood cells, fetus, mother's bloodstream, nourishes her child, the placenta, mother is rh-negative, system cannot tolerate, rh-positive red blood cells, mother's immune system treats the rh-positive fetal cells, they were a foreign substance, makes antibodies against the fetal blood cells, anti-rh antibodies, cross the placenta, fetus, where they destroy the fetus's circulating red blood cells, first-born infants, not affected, the mother has had previous miscarriages, abortions, could have sensitized her system, takes time, the mother to develop antibodies against the fetal blood, second children who, rh-positive harmed, rh incompatibility, cause symptoms ranging from very mild to fatal, in its mildest form, rh incompatibility causes, hemolysis, destruction, the red blood cells, the release of free hemoglobin, infant's circulation, hemoglobin is converted into bilirubin, an infant to, become yellow, jaundiced, jaundice of rh incompatibility, measured by the level of bilirubin, in the infant's bloodstream, range from mild to dangerously high levels of bilirubin, hydrops fetalis, complication of a severe form of rh incompatibility, massive fetal red blood cell destruction, the rh incompatibility, a severe anemia resulting in fetal heart failure, total body swelling, respiratory distress, infant has been delivered, circulatory collapse, hydrops fetalis often results in death, the infant shortly, after delivery, kernicterus, neurological syndrome, deposition of bilirubin, brain, cns, tissues, kernicterus develops in extremely jaundiced infants, severe rh incompatibility, occurs several days after delivery, characterized initially by loss, the moro, startle, reflex, poor feeding, decreased activity, a high-pitched shrill cry, unusual posturing, a bulging fontanel, seizures, infants, die suddenly of kernicterus, they survive, later develop decreased muscle tone, movement disorders, high-pitched hearing loss, seizures, decreased mental ability, rh incompatibility develops only, the mother is rh-negative, infant is rh-positive, special immune globulins, rhogam, prevent this sensitization, in developed countries the us, hydrops fetalis, kernicterus have decreased markedly in frequency, a result of these preventive measures, polyhydramnios, birth, rapidly increasing jaundice, prolonged jaundice, hypotonia, motormental retardation, mild rh incompatibility, positive direct coombs, evidence of hemolysis, in the infant's blood, elevated cord bloodbilirubin, hydrops fetalis, severe anemia, heart failure, cardiac failure, enlarged liver, hepatomegaly, respiratory distress, bruising, purplish bruise-like lesions on the skin, purpura, kernicterus, high bilirubin level, greater than 18 mg/cc, extreme jaundice, absent moro, startle, reflex, poor breast-feeding, sucking, lethargy, kernicterus, high-pitched cry, arched back, neck hyperextended backwards, opisthotonos, bulging fontanel, soft spot, seizures, kernicterus, full neurological syndrome, high-frequency hearing loss, mental retardation, muscle rigidity, speech difficulties, seizures, movement disorder, rh incompatibility is completely preventable, the use of rhogam, prevention remains the best treatment, affected infant depends on the severity, aggressive hydration, phototherapy using bilirubin lights, hydrops fetalis, amniocentesis, severity, intrauterine fetal transfusion, early induction of labor, a direct transfusion of packed red blood cells, compatible, the infant's blood, exchange transfusion, the newborn to rid the blood, the maternal antibodies, destroying the red blood cells, control of congestive failure, fluid retention, kernicterus, exchange transfusion, require multiple exchanges, phototherapy, full recovery is expected, mild rh incompatibility, hydrops fetalis, kernicterus represent extreme conditions, hemolysis, have guarded outcomes, hydrops fetalis has a high mortality rate, complications include neurological syndrome, mental deficiency, movement disorder, hearing loss, speech disorder, seizures, pregnant, have not yet seen a doctor, rh incompatibility is completely preventable, rh-negative mothers, followed closely by obstetricians, pregnancy, father, the infant is rh-positive, mother is given a mid-term injection of rhogam, a second injection, a few days of delivery, injections, prevent the development of antibodies against rh-positive blood, effectively prevents the condition.