Haemolytic disease of the fetus and newborn.

Abstract:

:Haemolytic Disease of the Fetus and Newborn (HDFN) is caused by maternal alloimmunization against red blood cell antigens. In severe cases, HDFN may lead to fetal anaemia with a risk for fetal death and to severe forms of neonatal hyperbilirubinaemia with a risk for kernicterus. Most severe cases are caused by anti-D, despite the introduction of antental and postnatal anti-D immunoglobulin prophylaxis. In general, red blood cell antibody screening programmes are aimed to detect maternal alloimmunization early in pregnancy to facilitate the identification of high-risk cases to timely start antenatal and postnatal treatment. In this review, an overview of the clinical relevance of red cell alloantibodies in relation to occurrence of HDFN and recent views on prevention, screening and treatment options of HDFN are provided.

journal_name

Vox Sang

journal_title

Vox sanguinis

authors

de Haas M,Thurik FF,Koelewijn JM,van der Schoot CE

doi

10.1111/vox.12265

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

99-113

issue

2

eissn

0042-9007

issn

1423-0410

journal_volume

109

pub_type

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