Hematological Conditions

I read in protocol that if the baby is indicated for blood transfusion , that you have to do cross matching the donor blood with maternal serum I don't what the reason of this , I know that maternal antibodies will be in the neonatal serum and the neonate will not Form anti _ body before 6 month of age so is it enough just to do cross matching between the newborn and the donor blood ?

How do you deal with acute bleeding on your ward? e.g. gastric bleeding or pulmonary hemorrhage? Have any of you ever used tranexamic acid? At what dose? I know our anesthesiologists use it every now and then?

Hi, do you use in your service Anti-D immunoglobulin prophylaxis in Rh negative female newborn and mother Rh positive ? I have not found bibliography. Thanks in advance Daniel

I want to ask about if newborn with recurrent sepsis and take frequent BL trx , still had anemia with HB 7.7 and reticulocytic count 2% and s. Ferritin 950 with thrombocytosis......how can I deal with ??

When there is active bleeding associated with prolonged PT,APTT , giving vit k 5mg IV for one dose or repeated dose for 3 days (once/ day for 3 d) ass with plasma

When I give plasma or PRBC transfusion, is it necessary to give I.v frusemid after it to avoid volume overload in neonate in my nicu

Hai all i need your help, I have a neonate with 38 wks,BW-2.6kg, delivered by LSCS, asymptomatic at birth, developed repiratory distress with abd distension at 22 hours of life, sepsis screen positive, no maternal risk for sepsis,sbr -12 mg/dl, ABO setup, started on phototherapy, higher antibiotics,at 32 hours persistent distress,ABG ph 7.23,pco2 40,po2 60,bicarb-16,sbr total 12, direct 3,echo is normal, DCT negative,retic 15%, elevated renal parameters,, started on ivig, and inotropes, my point is, is it ABO hemolysis, or sepsis plus hemolysis

Some of my collegues use as treatment of trombrocytopenia ( exemple:10.000 platelets) in context of severe sepsis (BLEE multiresistant) transfusions of platelets every 6-8 h, as routine treatment ( ??? ), like furosemida or cefotaxima or meropenem, without repeating hemogram. I´m not agree, with this options. What do yo think ? Is a good indication? Have you any guidelinnes?? Thank you

I never used EPO before, but recently joined the group that uses EPO extensively. So just want to find out how many NICU use Epo for prevention PRBC transfusions. Do you use Epo? Do you use it early? Do you use it late? Do you use it for some kids- targeted use? Do you use Darbe? Thanks.

We have a 1 month male baby, who has been referred for hepato-splenomegale, and peritoneal lymphadenopathy , confirmed by ultrasound abdomen , no other significant history , no fever no other signs of sepsis. Anti-natal history of mother getting on and off fever from gestation of 5 months, Mother u/s ab : omental thickening, ? TB Baby on DBF We suspected sepsis, lymphomas , infiltrative disorder , congenital tuberculosis . Sepsis screening - negative , baby is not sick TB; gastric aspirate, PCR for TB is negative LFT-normal, PT ptt : Normal Immunoglobulin levels -normal VDRL, HIV, NEgative Hb: 9.5, TC : 9000, platelets : 1.2L Bone marrow - ? Normal s…