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Decreased fetal movements and a sinusoidal cardiotocographic (CTG) for more than 30\u2009min are characteristic findings. This paper presents a case report of a 34\u2010year\u2010old woman at 38\u2009+\u20094\u2009weeks with reduced fetal movements and a sinusoidal CTG. An emergency cesarean section was performed, delivering a pale newborn with a hemoglobin of 4.3\u2009g\/dL. A comprehensive review of the available literature is then reported.<\/jats:p>","DOI":"10.1002\/jcu.24062","type":"journal-article","created":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T03:19:33Z","timestamp":1746674373000},"page":"1860-1875","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Diagnosis of Spontaneous Massive Fetomaternal Hemorrhage: A Case Report and Literature Review"],"prefix":"10.1002","volume":"53","author":[{"given":"Martina","family":"Derme","sequence":"first","affiliation":[{"name":"Azienda Ospedaliero\u2010Universitaria Policlinico Umberto I  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6380-3009","authenticated-orcid":false,"given":"Adele","family":"Vasta","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health and Urological Sciences Sapienza University of Rome  Rome 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