RESUMO

When pregnancy occurs in women suffering from major sickle cell disease there is a double risk for the mother and for the fetus. Pregnancy favours the development of the classical complications of the disease and fetal distress in utero or prematurity bring with them an increased level of perinatal morbidity and mortality. Routine blood transfusion carried out prophylactically might seem to be a solution that lessens the risk. In fact, a comparative study of two series of patients did not give rise to the conclusion that there was any benefit from carrying out the procedure. Careful supervision of the progress of the pregnancy would seem to be the one essential factor to improve the prognosis.

Assuntos

Anemia Falciforme/terapia , Transfusão de Sangue , Complicações Hematológicas na Gravidez/terapia , Resultado da Gravidez , Feminino , Morte Fetal , Doenças Fetais/prevenção & controle , Humanos , Gravidez , Prognóstico , Índias Ocidentais