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Article

Is Feto-Maternal Transfusion after Cesarean Delivery Different in Singleton and Twin Pregnancy?

by
Anna Stachurska-Skrodzka
1,
Damian Mielecki
2,
Anna Fijałkowska
1,
Kinga Żebrowska
3,
Monika Kasperczak
3 and
Katarzyna Kosińska-Kaczyńska
3,*
1
Department of Cell Biology and Immunology, Center of Postgraduate Medical Education, 01-813 Warsaw, Poland
2
Department of Neurochemistry, Mossakowski Medical Research Institute, Polish Academy of Sciences, 02-106 Warsaw, Poland
3
Department of Obstetrics, Perinatology and Neonatology, Center of Postgraduate Medical Education, 01-813 Warsaw, Poland
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(12), 3609; https://doi.org/10.3390/jcm13123609
Submission received: 23 April 2024 / Revised: 15 June 2024 / Accepted: 16 June 2024 / Published: 20 June 2024
(This article belongs to the Section Obstetrics & Gynecology)

Abstract

Background: The aim of the study was to investigate if feto-maternal transfusion was related to the size of the fetal-maternal interface, and, therefore, was larger in twin pregnancy in comparison with singleton pregnancy. Methods: Blood samples from women with singleton (n = 11), and monochorionic (n = 11) and dichorionic (n = 13) twin gestations were tested. Flow cytometry tests with hemoglobin F, glycophorin A, and hemoglobin F and carbonic anhydrase simultaneous staining were used to detect fetal red blood cells and maternal F cells. Results: In all cases, the volume of feto-maternal transfusion was estimated to be low. The highest rate of fetal red blood cells in the maternal circulation was observed in the blood of women with dichorionic twin gestations both before and after delivery. An increase in fetal red blood cells was observed after cesarean section in singletons and twins. The median rate of maternal F cells was 2.23% in singleton, 2.1% in monochorionic and 3.95% in dichorionic pregnancy. Conclusions: Feto-maternal transfusion during pregnancy may be related to the multiplicity and chorionicity of pregnancy.
Keywords: feto-maternal transfusion; cytometry; microscopy; twin pregnancy; cesarean delivery; chorionicity feto-maternal transfusion; cytometry; microscopy; twin pregnancy; cesarean delivery; chorionicity

Share and Cite

MDPI and ACS Style

Stachurska-Skrodzka, A.; Mielecki, D.; Fijałkowska, A.; Żebrowska, K.; Kasperczak, M.; Kosińska-Kaczyńska, K. Is Feto-Maternal Transfusion after Cesarean Delivery Different in Singleton and Twin Pregnancy? J. Clin. Med. 2024, 13, 3609. https://doi.org/10.3390/jcm13123609

AMA Style

Stachurska-Skrodzka A, Mielecki D, Fijałkowska A, Żebrowska K, Kasperczak M, Kosińska-Kaczyńska K. Is Feto-Maternal Transfusion after Cesarean Delivery Different in Singleton and Twin Pregnancy? Journal of Clinical Medicine. 2024; 13(12):3609. https://doi.org/10.3390/jcm13123609

Chicago/Turabian Style

Stachurska-Skrodzka, Anna, Damian Mielecki, Anna Fijałkowska, Kinga Żebrowska, Monika Kasperczak, and Katarzyna Kosińska-Kaczyńska. 2024. "Is Feto-Maternal Transfusion after Cesarean Delivery Different in Singleton and Twin Pregnancy?" Journal of Clinical Medicine 13, no. 12: 3609. https://doi.org/10.3390/jcm13123609

APA Style

Stachurska-Skrodzka, A., Mielecki, D., Fijałkowska, A., Żebrowska, K., Kasperczak, M., & Kosińska-Kaczyńska, K. (2024). Is Feto-Maternal Transfusion after Cesarean Delivery Different in Singleton and Twin Pregnancy? Journal of Clinical Medicine, 13(12), 3609. https://doi.org/10.3390/jcm13123609

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