We report on 2 consecutive pregnancies in a woman with a history of neonata
l death secondary to Rhesus alloimmunization, Her first subsequent pregnanc
y was complicated by fetal hydrops at 20 weeks of gestation, The fetus rece
ived a total of 11 intrauterine transfusions, and was delivered at 38 weeks
. In the patient's next pregnancy, the fetus developed hydrops at 18 weeks
of gestation. Thirteen intrauterine transfusions were given to correct feta
l anemia, and a healthy baby was delivered at 38 weeks of gestational age.
Continuation of intravascular transfusion the ra py may rep resent a reason
able alternative to selective premature delivery even in cases with highly
aggressive maternal Rhesus alloimmunization.