A prospective study of routine antenatal enzyme antibody screening demonstrates lack of clinical value in predicting haemolytic disease of the newborn.

Abstract:

:A prospective study of 7065 consecutive new pregnancies identified 230 with a positive screen, of which 27% (62/230) were 'enzyme-only' antibodies. 32 of these (52%) were potentially clinically important and were all of Rh specificity: 22 anti-E, seven anti-Cw, two anti-D and one anti-c. However, only three of these enzyme-only antibodies (one anti-D, one anti-c and one anti-E) became reactive by the indirect antiglobulin test (IAT) during the course of pregnancy, and all were detected in the routine 34-36-week maternal sample. No babies were affected, and we reaffirm that routine antibody screening by enzyme techniques is unnecessary.

journal_name

Br J Haematol

authors

Clark D,Greiss MA,Urbaniak SJ

doi

10.1046/j.1365-2141.1999.01618.x

subject

Has Abstract

pub_date

1999-09-01 00:00:00

pages

824-6

issue

3

eissn

0007-1048

issn

1365-2141

pii

bjh1618

journal_volume

106

pub_type

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