This week we had a case that was interesting. I work LDRP, but nursery was short and I was helping out in there and was unable to be in on the delivery or in the ICN w/the newborn, so my info is sketchy...but here goes.
If I remember correctly, mom's labs were not out of whack, she was being induced (vag cytotec? not sure of reason) and it was not long after that she had to be taken back for a c/s. This baby came out white, blood drawn looked like Koolaid....his crit was 10, his blood sugar in the 20's, metabolic acidosis of course, placed under hood, apnea spells, he received blood several times. I do not know how bp's were. Anyhow, baby was pinking up slightly when I peeked in on him...mostly from head to chest, but then pale again. The next morning he suffered seizures and was shipped out.
Interestingly enough, pediatrician said he hasn't seen this in his 25 years and ob/gyn didn't sound like he'd seen anything like it before. I don't know if patho found anything w/placenta, but this mom had a lot of fetal cells in her blood stream....I heard a comment that if she were negative she would have needed 10x's the amount of RhoGam required.
We called the hosp where he was shipped and EEG is not looking good last I heard.
Just curious, thanks,
Lisa
