Knowledge (XXG)

Hemolytic disease of the newborn

Source 📝

229: 506:
cross the placenta. For unknown reasons, the incidence of maternal antibodies against type A and B antigens of the IgG type that could potentially cause hemolytic disease of the newborn is greater than the observed incidence of "ABO disease." About 15% of pregnancies involve a type O mother and a type A or type B child; only 3% of these pregnancies result in hemolytic disease due to A/B/O incompatibility. In contrast to antibodies to A and B antigens, production of Rhesus antibodies upon exposure to environmental antigens seems to vary significantly across individuals. In cases where there is ABO incompatibility and Rh incompatibility, the risk of alloimmunization is decreased because fetal red blood cells are removed from maternal circulation due to anti-ABO antibodies before they can trigger an anti-Rh response.
831:"Acute hemolytic transfusion reactions may be either immune-mediated or nonimmune-mediated. Immune-mediated hemolytic transfusion reactions caused by immunoglobulin M (IgM) anti-A, anti-B, or anti-A, B typically result in severe, potentially fatal complement-mediated intravascular hemolysis. Immune-mediated hemolytic reactions caused by IgG, Rh, Kell, Duffy, or other non-ABO antibodies typically result in extravascular sequestration, shortened survival of transfused red cells, and relatively mild clinical reactions. Acute hemolytic transfusion reactions due to immune hemolysis may occur in patients who have no antibodies detectable by routine laboratory procedures." 741:(RhIG, or RhoGam) at 28 weeks during pregnancy, at 34 weeks, and within 48 hours after delivery to prevent sensitization to the D antigen. It works by binding any fetal red blood cells with the D antigen before the mother is able to produce an immune response and form anti-D IgG. A drawback to pre-partum administration of RhIG is that it causes a positive antibody screen when the mother is tested, which can be difficult to distinguish from natural immunological responses that result in antibody production. Without Rho(D) immunoglobulin, the risk of isoimmunization is approximately 17%; with proper administration, the risk is reduced to less than 0.1–0.2%. 81: 58: 814:
intravenousγ-globulin (0.5–1 g/kg over 2 hours) is recommended if the TSB (total serum bilirubin) is rising despite intensive phototherapy or the TSB level is within 2 to 3 mg/dL (34–51 μmol/L) of the exchange level. If necessary, this dose can be repeated in 12 hours (evidence quality B: benefits exceed harms). Intravenous γ-globulin has been shown to reduce the need for exchange transfusions in Rh and ABO hemolytic disease."
472:). This is a major cause of HDN, because 75% of pregnancies result in some contact between fetal and maternal blood, and 15–50% of pregnancies have hemorrhages with the potential for immune sensitization. The amount of fetal blood needed to cause maternal sensitization depends on the individual's immune system and ranges from 0.1 mL to 30 mL. 813:
IVIG – IVIG has been used to successfully treat many cases of HDN. It has been used not only on anti-D, but on anti-E as well. IVIG can be used to reduce the need for exchange transfusion and to shorten the length of phototherapy. The AAP recommends "In isoimmune hemolytic disease, administration of
755:
In some cases, the direct Coombs will be negative but severe, even fatal HDN can occur. An indirect Coombs needs to be run in cases of anti-C, anti-c, and anti-M. Infants with Anti-M are also recommended to receive antigen testing to rule out the presence of HDN. The below tests are often useful in
701:
IVIG – IVIG stands for Intravenous Immunoglobulin. It is used in cases of previous loss, high maternal titers, known aggressive antibodies, and in cases where religion prevents blood transfusion. IVIG can be more effective than IUT alone. Fetal mortality was reduced by 36% in the IVIG and IUT group
575:
of HDFN is based on history and laboratory findings. If a newly pregnant woman has red cell antibodies in her serum, the antibody titer should be followed with subsequent blood draws. The titer will rise if the fetus expresses the red cell antigen to which she is alloimmunized. In that case, fetal
505:
to A and B antigens, which are widespread in the environment, usually leads to the production of IgM or IgG anti-A and anti-B antibodies early in life. Women of blood type O are more prone than women of types A and B to making IgG anti-A and anti-B antibodies, and these IgG antibodies are able to
827:
Once a woman has antibodies, she is at high risk for a future transfusion reaction if she is in need of a blood transfusion. For this reason, she is advised to carry a medical alert card at all times and inform all doctors and emergency personnel of her antibody status. The absence of antibodies
779:
Newborn Screening Tests – Transfusion with donor blood during pregnancy or shortly after birth can affect the results of the Newborn Screening Tests. It is recommended to wait and retest 10–12 months after last transfusion. In some cases, DNA testing from saliva can be used to rule out certain
763:
Reticulocyte count – Reticulocytes are elevated when the infant is producing more red blood cells in response to anemia. A rise in the retic count can mean that an infant may not need additional transfusions. Low retic is observed in infants treated with IUT and in those with HDN from
750:
Coombs – in certain instances (when there is concern for blood group incompatibility between mother and baby for example), after birth a baby will have a direct Coombs test run to confirm the antibodies attached to the infant's red blood cells. This test is run on the infant's cord
464:(often caused by trauma), or medical procedures carried out during pregnancy that breach the uterine wall. In subsequent pregnancies, if there is a similar incompatibility in the fetus, these antibodies are then able to cross the placenta into the fetal bloodstream to attach to the 537:
can range from a mild to severe disease and is the third most common form of severe HDN. Rhesus e and rhesus C hemolytic disease of the newborn are rare. Anti-C and anti-c can both show a negative DAT but still have a severely affected infant. An indirect Coombs must also be run.
2080:
Hyland CA, O'Brien H, Flower RL, Gardener GJ. Non-invasive prenatal testing for management of haemolytic disease of the fetus and newborn induced by maternal alloimmunisation. Transfus Apher Sci. 2020 Oct;59(5):102947. doi: 10.1016/j.transci.2020.102947. Epub 2020 Sep 18. PMID:
809:
Phototherapy – Exposure to ultraviolet light (phototherapy) is recommended when the cord bilirubin is 3 or higher. Some doctors use it at lower levels while awaiting lab results. This converts unconjugated bilirubin to a conjugated form that is easier for the infant to
562:
One study states that it would be unwise to routinely dismiss anti-E as being of little clinical consequence. It also found that the most severe case of anti-E HDFN occurred with titers 1:2, concluding that titers are not reliable for the diagnosis of the anti-E type.
494:-positive blood to avoid possible sensitization, but this would strain the resources of blood transfusion services, and it is currently considered uneconomical to screen for these blood groups. HDFN can also be caused by antibodies to a variety of other 817:
Exchange transfusion – Exchange transfusion is used when bilirubin reaches either the high or medium risk lines on the nonogram provided by the American Academy of Pediatrics (Figure 4). Cord bilirubin >4 is also indicative of the need for exchange
2868: 4188: 4173: 720:(IUT) is done either by intraperitoneal transfusion (IPT) or intravenous transfusion (IVT). IVT is preferred over IPT. IUTs are only done until 35 weeks. After that, the risk of an IUT is greater than the risk from post birth transfusion. 552:
related HDN are caused by multiple blood transfusions. Antibodies to the other Kell antigens are rare. Anti-Kell can cause severe anemia regardless of titer. It suppresses the bone marrow by inhibiting the erythroid progenitor cells.
705:
Plasmapheresis – Plasmapheresis aims to decrease the maternal titer by direct plasma replacement and physical removal of antibody. Plasmapheresis and IVIG together can even be used on women with previously hydropic fetuses and fetal
514:
HDN is classified by the type of antigens involved. The main types are ABO HDN, Rhesus HDN, Kell HDN, and other antibodies. Combinations of antibodies (for example, anti-Rhc and anti-RhE occurring together) can be especially severe.
2091:
Voto LS, Mathet ER, Zapaterio JL, Orti J, Lede RL, Margulies M (1997). "High-dose gammaglobulin (IVIG) followed by intrauterine transfusions (IUTs): a new alternative for the treatment of severe fetal hemolytic disease".
4287: 2861: 2213:
Ruma MS, Moise KJ, Kim E, Murtha AP, Prutsman WJ, Hassan SS, Lubarsky SL (February 2007). "Combined plasmapheresis and intravenous immune globulin for the treatment of severe maternal red cell alloimmunization".
2854: 2737: 943: 228: 3566: 2178:
Palfi M, Hildén JO, Matthiesen L, Selbing A, Berlin G (October 2006). "A case of severe Rh (D) alloimmunization treated by intensive plasma exchange and high-dose intravenous immunoglobulin".
1876: 2071:
Fasano RM. Hemolytic disease of the fetus and newborn in the molecular era. Semin Fetal Neonatal Med. 2016 Feb;21(1):28-34. doi: 10.1016/j.siny.2015.10.006. Epub 2015 Nov 14. PMID: 26589360.
2062:
Fasano RM. Hemolytic disease of the fetus and newborn in the molecular era. Semin Fetal Neonatal Med. 2016 Feb;21(1):28-34. doi: 10.1016/j.siny.2015.10.006. Epub 2015 Nov 14. PMID: 26589360.
668:
Cell free fetal DNA (cff-DNA) from maternal plasma may be used early in pregnancy to determine whether the fetus expresses the red cell antigen to which the pregnant mother is alloimmunized
679:
Erythrocyte antigen status on the father might be a non-preferred alternative, if maternal cff-DNA testing is not available, in conjunction with monitoring the titer of the maternal plasma
1741:
van Wamelen DJ, Klumper FJ, de Haas M, Meerman RH, van Kamp IL, Oepkes D (May 2007). "Obstetric history and antibody titer in estimating severity of Kell alloimmunization in pregnancy".
1672:
Heddle NM, Wentworth P, Anderson DR, Emmerson D, Kelton JG, Blajchman MA (June 1995). "Three examples of Rh haemolytic disease of the newborn with a negative direct antiglobulin test".
4292: 487:
typing are routine prior to transfusion. Suggestions have been made that women of child-bearing age or young girls should not be given a transfusion with Rhc-positive blood or
625:
count, which will usually be increased as the bone marrow makes new red blood cells to replace the ones that are being destroyed, and a peripheral blood smear to look at cell
1357:
Rath ME, Smits-Wintjens VE, Oepkes D, Walther FJ, Lopriore E (November 2013). "Iron status in infants with alloimmune haemolytic disease in the first three months of life".
842:
In 2003, the incidence of Rh(D) sensitization in the United States was 6.8 per 1000 live births; 0.27% of women with an Rh incompatible fetus experience alloimmunization.
4045: 3559: 3242: 866: 541: 213: 3257: 3247: 2749: 876: 871: 534: 209: 205: 3552: 2135:
Novak DJ, Tyler LN, Reddy RL, Barsoom MJ (2008). "Plasmapheresis and intravenous immune globulin for the treatment of D alloimmunization in pregnancy".
1884: 288:, however the risk of kernicterus in HDN is higher because of the rapid and massive destruction of blood cells. Isoimmunization is a risk factor for 4128: 4123: 3724: 4079: 556:
Anti-M also recommends antigen testing to rule out the presence of HDN as the direct coombs can come back negative in a severely affected infant.
2768:
Geifman-Holtzman O, Wojtowycz M, Kosmas E, Artal R (February 1997). "Female alloimmunization with antibodies known to cause hemolytic disease".
2562:
Onesimo R, Rizzo D, Ruggiero A, Valentini P (September 2010). "Intravenous Immunoglobulin therapy for anti-E hemolytic disease in the newborn".
3901: 3237: 881: 197: 2818: 1972: 3140: 2452: 518: 257: 948: 1963: 776:
Ferritin – because most infants affected by HDN have iron overload, a ferritin must be run before giving the infant any additional iron.
527:(often called Rh disease) is the most common and only preventable form of severe HDN. Since the introduction of Rho-D immunoglobulin, ( 4307: 3145: 31: 1155:
Shapiro SM (January 2005). "Definition of the clinical spectrum of kernicterus and bilirubin-induced neurologic dysfunction (BIND)".
729:
Early Delivery – Delivery can occur anytime after the age of viability. Emergency delivery due to failed IUT is possible, along with
4118: 3896: 2923: 692:
is given to prevent sensitization. However, there is no comparable immunotherapy available for other blood group incompatibilities.
2374: 3466: 3441: 3891: 3937: 3799: 3533: 3483: 3051: 531:, at 1968, which prevents the production of maternal Rho-D antibodies, the incidence of anti-D HDN has decreased dramatically. 3794: 789:
After birth, treatment depends on the severity of the condition, but could include temperature stabilization and monitoring,
726:
Phenobarbital – Phenobarbital is sometimes given to the mother to help mature the fetal liver and reduce hyperbilirubinemia.
355:
and damage to the liver due to excess bilirubin. Conditions that may cause similar symptoms in the newborn period include:
4302: 4017: 3225: 886: 193: 4074: 3461: 3384: 3202: 3150: 2745: 434:
and persist after delivery. The three most common models in which a woman becomes sensitized toward (i.e., produces IgG
3976: 3779: 3451: 3356: 3293: 521:
can range from mild to severe, but generally, it is a mild disease. It can be caused by anti-A and anti-B antibodies.
3174: 1786:"Alloimmunization due to red cell antibodies in Rhesus positive Omani Pregnant Women: Maternal and Perinatal outcome" 4007: 3685: 3298: 3288: 3179: 963:"Associations of Rhesus and non-Rhesus maternal red blood cell alloimmunization with stillbirth and preterm birth" 4297: 4037: 3860: 3328: 3037: 3033: 2993: 2846: 1275:
Koenig JM, Christensen RD (April 1989). "Neutropenia and thrombocytopenia in infants with Rh hemolytic disease".
441: 2491: 430:
which does not cross the placenta), the IgG will target the antigen, if present in the fetus, and may affect it
426:
foreign to the make-up of the body. If a mother is exposed to a foreign antigen and produces IgG (as opposed to
220:
have shown the anti-RhD type to be the most common cause of HDFN, followed by anti-RhE, anti-RhC, and anti-Rhc.
4203: 3951: 3720: 3706: 3394: 3315: 2326: 891: 770:
Thrombocytes – as thrombocytopenia is one of the complications of HDN, the thrombocyte count should be checked.
723:
Steroids – Steroids are sometimes given to the mother before IUTs and early delivery to mature the fetal lungs.
717: 584: 3824: 3587: 3490: 3456: 3061: 2981: 2971: 2918: 2738:"Fatalities Reported to FDA Following Blood Collection and Transfusion: Annual Summary for Fiscal Year 2011" 580: 89: 1449:
al-Alaiyan S, al Omran A (1999). "Late hyporegenerative anemia in neonates with rhesus hemolytic disease".
1233:
Lande L (June 1948). "Clinical signs and development of survivors of kernicterus due to Rh sensitization".
268:
levels. After delivery, bilirubin is no longer cleared (via the placenta) from the neonate's blood and the
216:. Although global prevalence studies of the differential contribution of those types are lacking, regional 169:. The intensity of this fetal disease ranges from mild to very severe, and fetal death from heart failure ( 3955: 3371: 3189: 3098: 3081: 2381: 2301:
Baur AR, Baur EH, Pritzker JG, Caughey AB, Tran SH, Arraut A (2 July 2018). Talavera FT, Smith CV (eds.).
702:
than in the IUT alone group. IVIG and plasmapheresis together can reduce or eliminate the need for an IUT.
577: 528: 3305: 3013: 767:
Neutrophils – as neutropenia is one of the complications of HDN, the neutrophil count should be checked.
689: 484: 177:(immature red blood cells) are present in the fetal blood, earning these forms of the disease the name 4113: 4108: 4092: 4002: 3932: 3789: 3701: 3343: 3333: 3135: 3091: 851: 794: 626: 608: 292:
and lowers the level at which kernicterus can occur. Untreated profound anemia can cause high-output
196:. Various types of HDFN are classified by which alloantigen provokes the response. The types include 1913:"Maternal anti-M induced hemolytic disease of newborn followed by prolonged anemia in newborn twins" 4192: 4135: 3528: 3511: 3361: 3217: 3127: 2463: 488: 313: 80: 4140: 4022: 4012: 3906: 3804: 3784: 3621: 3579: 3446: 3402: 3379: 3269: 3046: 2793: 2587: 2434: 2280: 2160: 2117: 2045: 1766: 1697: 1651: 1523: 1474: 1382: 1180: 798: 737:
Rhesus-negative mothers who are pregnant with a rhesus-positive infant are offered Rho(D) immune
495: 344: 245: 217: 17: 4265: 3832: 2467: 1075: 57: 4243: 4214: 3842: 3837: 3637: 3626: 3279: 3197: 3167: 3108: 3086: 2903: 2814: 2785: 2702: 2636: 2579: 2544: 2426: 2272: 2231: 2195: 2152: 2109: 2037: 1944: 1858: 1817: 1758: 1689: 1643: 1599: 1515: 1466: 1431: 1374: 1336: 1292: 1250: 1215: 1172: 1137: 1041: 992: 920: 756:
cases of hemolytic disease of the newborn but are not required for treatment of all newborns.
476: 449: 281: 154: 74: 65: 1837:"Inhibition of erythroid progenitor cells by anti-Kell antibodies in fetal alloimmune anemia" 1012:"[Serious materno-fetal alloimmunization: about a case and review of the literature]" 3886: 3820: 3737: 3732: 3673: 3600: 3575: 3521: 3348: 3008: 2949: 2913: 2777: 2692: 2684: 2626: 2618: 2571: 2534: 2416: 2262: 2223: 2187: 2144: 2101: 2029: 1934: 1924: 1848: 1807: 1797: 1750: 1681: 1633: 1589: 1579: 1505: 1458: 1421: 1413: 1366: 1326: 1284: 1242: 1207: 1164: 1127: 1119: 1031: 1023: 982: 974: 427: 356: 352: 249: 189: 134: 3544: 4027: 3997: 3881: 3809: 3663: 3616: 3478: 3264: 3156: 3076: 2356: 730: 638: 502: 438:
against) a particular antigen are hemorrhage, blood transfusion, and ABO incompatibility.
372: 320: 237: 170: 162: 2720: 2654: 2302: 2355:
Wagle S, Deshpande PG, Itani O (28 December 2017). Windle ML, Clark DA, Aslam M (eds.).
1722:
Wagle S, Deshpande PG, Itani O (28 December 2017). Windle ML, Clark DA, Aslam M (eds.).
3911: 3865: 3658: 3103: 2961: 2807: 2697: 2672: 2631: 2606: 2033: 1939: 1912: 1812: 1785: 1754: 1723: 1685: 1594: 1567: 1426: 1401: 1132: 1107: 1036: 1011: 987: 962: 548:
antibodies, the second most common form of severe HDN. Over half of the cases of anti-K
524: 465: 388: 150: 2781: 2607:"Systematic review of intravenous immunoglobulin in haemolytic disease of the newborn" 2523:"Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation" 2403:
Rimon E, Peltz R, Gamzu R, Yagel S, Feldman B, Chayen B, et al. (November 2006).
1288: 1246: 4281: 4086: 3678: 3042: 2882: 2164: 324: 293: 289: 94: 4197: 2797: 2591: 2438: 2284: 2121: 1770: 1701: 1655: 1478: 1386: 1184: 3981: 3771: 3653: 3642: 3162: 3003: 2049: 1527: 1076:"Erythrocyte Alloimmunization and Pregnancy: Overview, Background, Pathophysiology" 1027: 861: 790: 642: 622: 444:, which is the movement of fetal blood cells across the placenta, can occur during 305: 301: 174: 126: 98: 4254: 2191: 1835:
Vaughan JI, Manning M, Warwick RM, Letsky EA, Murray NA, Roberts IA (March 1998).
1494:"Red blood cell alloimmunisation: still a major complication of blood transfusion" 4208: 347:, inspissated (thickened or dried) bile syndrome and/or greenish staining of the 4238: 3668: 3648: 3632: 3506: 3408: 3274: 2976: 1853: 1836: 1546:
National Center for Biotechnology Information, U.S. National Library of Medicine
1331: 1314: 663: 649: 634: 340: 285: 253: 2521:
American Academy of Pediatrics Subcommittee on Hyperbilirubinemia (July 2004).
2227: 1211: 912: 4260: 4219: 3516: 3473: 3414: 3252: 2829: 2575: 2267: 2250: 2105: 1994: 1541: 856: 616: 612: 453: 435: 360: 233: 201: 70: 2405:"Management of Kell isoimmunization--evaluation of a Doppler-guided approach" 2276: 1929: 1802: 1568:"Hemolytic disease of the fetus and newborn: Current trends and perspectives" 248:(also called direct agglutination test), elevated cord bilirubin levels, and 4249: 4182: 3419: 2878: 2725: 2659: 1971:, Los Angeles, California: Department of Pathology and Laboratory Medicine, 1584: 1123: 630: 601: 572: 469: 461: 368: 265: 261: 158: 2706: 2640: 2583: 2548: 2539: 2522: 2430: 2235: 2199: 2156: 2041: 1948: 1821: 1762: 1647: 1603: 1519: 1470: 1435: 1378: 1340: 1254: 1219: 1176: 1141: 1045: 996: 924: 2789: 2113: 1862: 1693: 1417: 1296: 1168: 3212: 1462: 1080: 978: 802: 738: 597: 457: 445: 364: 277: 273: 142: 138: 1784:
Al-Dughaishi T, Al-Rubkhi IS, Al-Duhli M, Al-Harrasi Y, Gowri V (2015).
559:
Kidd antigens are also present on the endothelial cells of the kidneys.
3591: 2935: 2622: 423: 276:(yellowish skin and yellow discoloration of the whites of the eyes, or 269: 146: 4165: 2688: 2148: 1638: 1621: 1510: 1493: 1370: 828:
however does not preclude a woman from having a transfusion reaction:
501:
The third sensitization model can occur in women of blood type O. The
284:, there is the possibility of the neonate developing acute or chronic 4177: 3960: 2939: 2421: 2404: 1620:
de Haas M, Thurik FF, Koelewijn JM, van der Schoot CE (August 2015).
297: 166: 2020:
Moran P, Robson SC, Reid MM (November 2000). "Anti-E in pregnancy".
2001:. Bethesda, Maryland: National Center for Biotechnology Information 280:) increase within 24 hours after birth. Like other forms of severe 3927: 3595: 3323: 3070: 1198:
Blair E, Watson L (April 2006). "Epidemiology of cerebral palsy".
348: 328: 309: 227: 130: 834:
For a summary of transfusion reactions in the US, see reference.
583:
is used to determine the degree of fetal anemia and the need for
3548: 2850: 2382:
University of North Carolina, School of Medicine at Chapel Hill
961:
Fan J, Lee BK, Wikman AT, Johansson S, Reilly M (August 2014).
760:
Hgb – the infant's hemoglobin should be tested from cord blood.
498:
antigens, but Kell and Rh are the most frequently encountered.
4288:
Haemorrhagic and haematological disorders of fetus and newborn
652:(might be negative after fetal interuterine blood transfusion) 480: 2357:"Hemolytic Disease of the Newborn Treatment & Management" 413:
be treated with iron. Can persist up to 12 weeks after birth.
244:
Signs of hemolytic disease of the newborn include a positive
236:, a type of hemolytic disease of the newborn, suffering from 2611:
Archives of Disease in Childhood. Fetal and Neonatal Edition
1313:
Lalezari P, Nussbaum M, Gelman S, Spaet TH (February 1960).
1112:
Archives of Disease in Childhood. Fetal and Neonatal Edition
240:(edema caused by heart failure). The infant did not survive. 2350: 2348: 1010:
Zineb B, Boutaina L, Ikram L, Driss MR, Mohammed D (2015).
2375:"UNC Detection & Prevention: Isoimmunization Protocol" 173:) can occur. When the disease is moderate or severe, many 252:. It is possible for a newborn with this disease to have 1717: 1715: 1713: 1711: 1402:"Severe late anemia of hemolytic disease of the newborn" 2464:
University of California, San Francisco, Medical Center
1308: 1306: 422:
Antibodies are produced when the body is exposed to an
1315:"Neonatal neutropenia due to maternal isoimmunization" 192:
for the fetus or some other form of impairment of the
2564:
The Journal of Maternal-Fetal & Neonatal Medicine
212:, anti-Rhe, anti-RhC, multiantigen combinations, and 4155: 1911:
Arora S, Doda V, Maria A, Kotwal U, Goyal S (2015).
4229: 4159: 4101: 4067: 4058: 4036: 3990: 3969: 3950: 3920: 3874: 3859: 3818: 3770: 3763: 3749: 3719: 3694: 3609: 3586: 3499: 3434: 3393: 3370: 3342: 3314: 3211: 3188: 3126: 3119: 3060: 3026: 2990: 2958: 2932: 2900: 2889: 88: 64: 47: 42: 2806: 2296: 2294: 2320: 2318: 2316: 4046:Transfusion-associated graft-versus-host disease 2836:. National Center for Biotechnology Information. 2813:(10th ed.). Oxford, UK: Blackwell Science. 2805:Mollison PL, Engelfriet CP, Contreras M (1997). 1877:"Kell sensitization can cause fetal anemia, too" 793:, transfusion with compatible packed red blood, 2516: 2514: 2512: 1906: 1904: 1902: 1615: 1613: 1352: 1350: 919:. Treasure Island (FL): StatPearls Publishing. 145:. Among these antibodies are some which attack 1883:. UBM Medica. 1 September 2008. Archived from 1667: 1665: 1270: 1268: 1266: 1264: 1101: 1099: 1097: 1095: 1093: 1091: 4293:Disorders originating in the perinatal period 3560: 2862: 2327:"Intrauterine fetal transfusion of red cells" 2216:American Journal of Obstetrics and Gynecology 1622:"Haemolytic disease of the fetus and newborn" 1069: 1067: 1065: 1063: 1061: 1059: 1057: 1055: 27:Fetal and neonatal alloimmune blood condition 8: 2492:"Hemolytic Disease of the Fetus and Newborn" 2303:"Erythrocyte Alloimmunization and Pregnancy" 867:Hemolytic disease of the newborn (anti-Kell) 877:Hemolytic disease of the newborn (anti-RhE) 872:Hemolytic disease of the newborn (anti-Rhc) 773:Bilirubin should be tested from cord blood. 4156: 4064: 3966: 3871: 3767: 3746: 3606: 3567: 3553: 3545: 3123: 2897: 2869: 2855: 2847: 645:(also known as nucleated red blood cells). 542:Anti-Kell hemolytic disease of the newborn 475:The woman may have received a therapeutic 385:Bilirubin Induced Neurological Dysfunction 141:) produced by the mother pass through the 111:hemolytic disease of the fetus and newborn 79: 56: 39: 2696: 2630: 2538: 2460:Intensive Care Nursery House Staff Manual 2420: 2409:Ultrasound in Obstetrics & Gynecology 2266: 1938: 1928: 1852: 1811: 1801: 1724:"Hemolytic Disease of the Newborn Workup" 1637: 1593: 1583: 1509: 1425: 1330: 1200:Seminars in Fetal & Neonatal Medicine 1131: 1035: 986: 525:Rhesus D hemolytic disease of the newborn 379:High at birth or rapidly rising bilirubin 367:infection, congenital obstruction of the 137:molecules (one of the five main types of 2834:Blood Groups and Red Blood Cell Antigens 4080:Allergic bronchopulmonary aspergillosis 1566:Basu S, Kaur R, Kaur G (January 2011). 903: 2809:Blood Transfusion in Clinical Medicine 2605:Gottstein R, Cooke RW (January 2003). 882:Hemolytic disease of the newborn (ABO) 159:breaking down and destroying the cells 3902:Post-streptococcal glomerulonephritis 2655:Hemolytic Disease of Newborn~followup 1973:University of California, Los Angeles 967:International Journal of Epidemiology 7: 3141:Infant respiratory distress syndrome 2677:Transfusion Medicine and Hemotherapy 2496:The Lecturio Medical Concept Library 1917:Asian Journal of Transfusion Science 1790:Asian Journal of Transfusion Science 1572:Asian Journal of Transfusion Science 1106:Murray NA, Roberts IA (March 2007). 688:In cases of Rho(D) incompatibility, 591:Blood tests done on the newborn baby 519:ABO hemolytic disease of the newborn 258:neonatal alloimmune thrombocytopenia 1841:The New England Journal of Medicine 1108:"Haemolytic disease of the newborn" 339:Complications of HDN could include 323:, an often-severe form of prenatal 3146:Transient tachypnea of the newborn 2830:"Hemolytic disease of the newborn" 2466:, pp. 121–124, archived from 2453:"Hemolytic Disease of the Newborn" 2034:10.1111/j.1471-0528.2000.tb11662.x 1999:Blood Groups and Red Cell Antigens 1995:"Chapter 10: The Kidd blood group" 1755:10.1097/01.AOG.0000260957.77090.4e 1686:10.1111/j.1365-3148.1995.tb00197.x 1542:"Hemolytic disease of the newborn" 1400:Mitchell S, James A (April 1999). 32:Hemorrhagic disease of the newborn 25: 4119:Autoimmune polyendocrine syndrome 2924:Twin-to-twin transfusion syndrome 2673:"Hemolytic Transfusion Reactions" 2180:Transfusion and Apheresis Science 629:. In the presence of significant 619:due to red blood cell destruction 544:is most commonly caused by anti-K 18:Haemolytic disease of the newborn 4266:Hemolytic disease of the newborn 3756:Hemolytic disease of the newborn 3442:Vertically transmitted infection 107:Hemolytic disease of the newborn 43:Hemolytic disease of the newborn 3938:Subacute bacterial endocarditis 3800:Immune thrombocytopenic purpura 3534:Fetal Alcohol Spectrum Disorder 3484:Group B streptococcal infection 3052:Intrauterine growth restriction 2742:Vaccines, Blood & Biologics 1016:The Pan African Medical Journal 2877:Conditions originating in the 1498:British Journal of Haematology 1406:Paediatrics & Child Health 1028:10.11604/pamj.2015.22.137.3508 673:Blood tests done on the father 657:Blood tests done on the mother 637:(fragmented red blood cells), 611:), which may show a decreased 485:Rhesus (Rh) blood group system 1: 4018:Postorgasmic illness syndrome 3226:Vitamin K deficiency bleeding 2782:10.1016/S0029-7844(96)00434-6 2325:Moise Jr KJ (15 March 2018). 2192:10.1016/j.transci.2006.07.002 2137:Journal of Clinical Apheresis 2094:Journal of Perinatal Medicine 1451:Journal of Perinatal Medicine 1289:10.1016/s0022-3476(89)80709-7 1247:10.1016/S0022-3476(48)80225-8 887:Neonatal red cell transfusion 805:and/or assisted ventilation. 468:and cause their destruction ( 194:immune tolerance in pregnancy 133:at or around birth, when the 129:condition that develops in a 4075:Hypersensitivity pneumonitis 3385:Periventricular leukomalacia 3203:Persistent fetal circulation 3151:Meconium aspiration syndrome 2748:, 8 May 2012, archived from 2746:Food and Drug Administration 949:Dorland's Medical Dictionary 382:Prolonged hyperbilirubinemia 188:HDFN represents a breach of 4141:Systemic autoimmune disease 3977:Allergic contact dermatitis 3897:Hypersensitivity vasculitis 3780:Autoimmune hemolytic anemia 3294:Intraventricular hemorrhage 1854:10.1056/NEJM199803193381204 1332:10.1182/blood.V15.2.236.236 911:Nassar GN, Wehbe C (2022). 600:including total and direct 4324: 3647:common allergies include: 3299:Germinal matrix hemorrhage 3289:Velamentous cord insertion 3180:Bronchopulmonary dysplasia 2251:"Intrauterine Transfusion" 2228:10.1016/j.ajog.2006.10.890 1212:10.1016/j.siny.2005.10.010 944:"erythroblastosis fetalis" 913:"Erythroblastosis Fetalis" 29: 4308:Acquired hemolytic anemia 3329:Necrotizing enterocolitis 3038:Large for gestational age 3034:Small for gestational age 2770:Obstetrics and Gynecology 2576:10.3109/14767050903544751 2462:, Children's Hospital at 2268:10.1007/s40556-016-0072-4 2255:Journal of Fetal Medicine 2106:10.1515/jpme.1997.25.1.85 1743:Obstetrics and Gynecology 1277:The Journal of Pediatrics 1235:The Journal of Pediatrics 483:and the D antigen of the 442:Fetal-maternal hemorrhage 409:Late onset anemia – must 357:acquired hemolytic anemia 183:erythroblastosis foetalis 182: 55: 3892:Henoch–Schönlein purpura 3707:Eosinophilic esophagitis 1962:Lu Q (5 February 2009), 1930:10.4103/0973-6247.150968 1803:10.4103/0973-6247.162710 892:Neonatal isoerythrolysis 718:Intrauterine Transfusion 585:intrauterine transfusion 402:Hemolytic anemia – must 319:HDN can be the cause of 179:erythroblastosis fetalis 161:. The fetus can develop 123:erythroblastosis fetalis 30:Not to be confused with 4008:Hashimoto's thyroiditis 3795:Guillain–Barré syndrome 3491:Neonatal conjunctivitis 2982:Single umbilical artery 2972:Umbilical cord prolapse 2919:Placental insufficiency 2892:complicating pregnancy, 1965:Kidd Blood Group System 1585:10.4103/0973-6247.75963 1492:Pereira A (June 2018). 1157:Journal of Perinatology 1124:10.1136/adc.2005.076794 1074:Arraut A (2017-03-09). 711:Mid- to late- pregnancy 596:Biochemistry tests for 581:doppler ultrasonography 4109:Autoimmune adrenalitis 3467:ureaplasma urealyticum 3175:Wilson–Mikity syndrome 3099:Brachial plexus injury 2540:10.1542/peds.114.1.297 641:, and in severe cases 607:Complete blood count ( 578:middle cerebral artery 481:ABO blood group system 241: 3415:Congenital hypertonia 3306:Anemia of prematurity 3014:Shoulder presentation 2721:Transfusion Reactions 1169:10.1038/sj.jp.7211157 823:Transfusion reactions 690:Rho(D) immunoglobulin 231: 4303:Transfusion medicine 4114:Autoimmune hepatitis 4093:Transplant rejection 4003:Giant cell arteritis 3933:Rheumatoid arthritis 3790:Goodpasture syndrome 3702:Autoimmune urticaria 3420:Congenital hypotonia 3334:Meconium peritonitis 3136:Intrauterine hypoxia 3092:Subgaleal hemorrhage 2222:(2): 138.e1–138.e6. 1975:, School of Medicine 1674:Transfusion Medicine 1463:10.1515/JPM.1999.014 852:Exchange transfusion 795:exchange transfusion 664:indirect Coombs test 633:the smear will show 406:be treated with iron 314:respiratory distress 232:Newborn infant with 3580:autoimmune diseases 3529:Neonatal withdrawal 3512:Perinatal mortality 3362:Sclerema neonatorum 3218:hematologic disease 2752:on 11 November 2012 1881:Contemporary OB/GYN 1418:10.1093/pch/4.3.201 1283:(4 Pt 1): 625–631. 745:After birth testing 4230:External resources 4023:Reactive arthritis 4013:Multiple sclerosis 3907:Reactive arthritis 3805:Pemphigus vulgaris 3785:Bullous pemphigoid 3686:Penicillin allergy 3622:Allergic urticaria 3462:mycoplasma hominis 3447:Neonatal infection 3403:Gray baby syndrome 3380:Perinatal asphyxia 3270:Hyperbilirubinemia 3047:Postterm pregnancy 2894:labour or delivery 2671:Strobel E (2008). 2623:10.1136/fn.88.1.F6 979:10.1093/ije/dyu079 801:for correction of 799:sodium bicarbonate 731:induction of labor 650:direct Coombs test 496:blood group system 456:, ruptures in the 345:hepatosplenomegaly 327:that causes fetal 264:leads to elevated 246:direct Coombs test 242: 224:Signs and symptoms 218:population studies 181:(British English: 4275: 4274: 4153: 4152: 4149: 4148: 4054: 4053: 3946: 3945: 3855: 3854: 3851: 3850: 3843:Pernicious anemia 3838:Myasthenia gravis 3715: 3714: 3638:Atopic dermatitis 3627:Allergic rhinitis 3542: 3541: 3430: 3429: 3280:Neonatal jaundice 3198:Pneumopericardium 3168:Pneumomediastinum 3109:Klumpke paralysis 3087:Caput succedaneum 3022: 3021: 2890:Maternal factors 2820:978-0-86542-881-2 2689:10.1159/000154811 2149:10.1002/jca.20180 2028:(11): 1436–1438. 1639:10.1111/vox.12265 1511:10.1111/bjh.15220 1371:10.1111/vox.12061 510:Serological types 477:blood transfusion 450:ectopic pregnancy 375:(CMV) infection. 282:neonatal jaundice 155:fetal circulation 104: 103: 75:immunohaematology 37:Medical condition 16:(Redirected from 4315: 4298:Infant mortality 4157: 4136:Sjögren syndrome 4065: 3967: 3872: 3768: 3747: 3607: 3576:Hypersensitivity 3569: 3562: 3555: 3546: 3522:Infant mortality 3357:Erythema toxicum 3349:thermoregulation 3316:Gastrointestinal 3124: 3120:Affected systems 2997: 2965: 2950:Chorioamnionitis 2943: 2914:Placenta praevia 2907: 2898: 2871: 2864: 2857: 2848: 2837: 2824: 2812: 2801: 2754: 2753: 2734: 2728: 2717: 2711: 2710: 2700: 2668: 2662: 2651: 2645: 2644: 2634: 2602: 2596: 2595: 2570:(9): 1059–1061. 2559: 2553: 2552: 2542: 2518: 2507: 2506: 2504: 2502: 2488: 2482: 2481: 2480: 2478: 2472: 2457: 2449: 2443: 2442: 2424: 2422:10.1002/uog.2837 2400: 2394: 2393: 2391: 2389: 2379: 2371: 2365: 2364: 2352: 2343: 2342: 2340: 2338: 2322: 2311: 2310: 2298: 2289: 2288: 2270: 2246: 2240: 2239: 2210: 2204: 2203: 2175: 2169: 2168: 2132: 2126: 2125: 2088: 2082: 2078: 2072: 2069: 2063: 2060: 2054: 2053: 2017: 2011: 2010: 2008: 2006: 1990: 1984: 1983: 1982: 1980: 1970: 1959: 1953: 1952: 1942: 1932: 1908: 1897: 1896: 1894: 1892: 1873: 1867: 1866: 1856: 1832: 1826: 1825: 1815: 1805: 1781: 1775: 1774: 1749:(5): 1093–1098. 1738: 1732: 1731: 1719: 1706: 1705: 1669: 1660: 1659: 1641: 1617: 1608: 1607: 1597: 1587: 1563: 1557: 1556: 1554: 1552: 1538: 1532: 1531: 1513: 1489: 1483: 1482: 1446: 1440: 1439: 1429: 1397: 1391: 1390: 1354: 1345: 1344: 1334: 1310: 1301: 1300: 1272: 1259: 1258: 1230: 1224: 1223: 1195: 1189: 1188: 1152: 1146: 1145: 1135: 1103: 1086: 1085: 1071: 1050: 1049: 1039: 1007: 1001: 1000: 990: 973:(4): 1123–1131. 958: 952: 941: 935: 934: 932: 931: 908: 862:Alloimmunization 675:(rarely needed) 399:Thrombocytopenia 353:hemolytic anemia 250:hemolytic anemia 190:immune privilege 109:, also known as 84: 83: 60: 40: 21: 4323: 4322: 4318: 4317: 4316: 4314: 4313: 4312: 4278: 4277: 4276: 4271: 4270: 4225: 4224: 4168: 4154: 4145: 4097: 4060: 4050: 4032: 4028:Type 1 diabetes 3998:Coeliac disease 3986: 3958: 3942: 3916: 3882:Arthus reaction 3863: 3847: 3833:Graves' disease 3814: 3810:Rheumatic fever 3759: 3727: 3711: 3690: 3617:Allergic asthma 3598: 3582: 3573: 3543: 3538: 3495: 3479:Neonatal sepsis 3426: 3395:Musculoskeletal 3389: 3366: 3347: 3338: 3310: 3265:Hydrops fetalis 3216: 3207: 3184: 3157:Pleural disease 3115: 3077:Cephalohematoma 3056: 3018: 2991: 2986: 2959: 2954: 2933: 2928: 2901: 2893: 2891: 2885: 2875: 2845: 2840: 2828:Dean L (2005). 2827: 2821: 2804: 2767: 2763: 2761:Further reading 2758: 2757: 2736: 2735: 2731: 2718: 2714: 2670: 2669: 2665: 2652: 2648: 2604: 2603: 2599: 2561: 2560: 2556: 2520: 2519: 2510: 2500: 2498: 2490: 2489: 2485: 2476: 2474: 2473:on 9 March 2021 2470: 2455: 2451: 2450: 2446: 2402: 2401: 2397: 2387: 2385: 2377: 2373: 2372: 2368: 2354: 2353: 2346: 2336: 2334: 2333:. UpToDate, Inc 2324: 2323: 2314: 2300: 2299: 2292: 2249:Deka D (2016). 2248: 2247: 2243: 2212: 2211: 2207: 2177: 2176: 2172: 2134: 2133: 2129: 2090: 2089: 2085: 2079: 2075: 2070: 2066: 2061: 2057: 2019: 2018: 2014: 2004: 2002: 1993:Dean L (2005). 1992: 1991: 1987: 1978: 1976: 1968: 1961: 1960: 1956: 1910: 1909: 1900: 1890: 1888: 1875: 1874: 1870: 1847:(12): 798–803. 1834: 1833: 1829: 1783: 1782: 1778: 1740: 1739: 1735: 1721: 1720: 1709: 1671: 1670: 1663: 1619: 1618: 1611: 1565: 1564: 1560: 1550: 1548: 1540: 1539: 1535: 1491: 1490: 1486: 1448: 1447: 1443: 1399: 1398: 1394: 1356: 1355: 1348: 1312: 1311: 1304: 1274: 1273: 1262: 1232: 1231: 1227: 1197: 1196: 1192: 1154: 1153: 1149: 1105: 1104: 1089: 1073: 1072: 1053: 1009: 1008: 1004: 960: 959: 955: 942: 938: 929: 927: 910: 909: 905: 900: 848: 840: 825: 787: 747: 733:at 35–38 weeks. 696:Early pregnancy 686: 639:reticulocytosis 569: 551: 547: 512: 503:immune response 492: 466:red blood cells 420: 418:Pathophysiology 373:cytomegalovirus 337: 321:hydrops fetalis 238:hydrops fetalis 226: 171:hydrops fetalis 163:reticulocytosis 151:red blood cells 78: 38: 35: 28: 23: 22: 15: 12: 11: 5: 4321: 4319: 4311: 4310: 4305: 4300: 4295: 4290: 4280: 4279: 4273: 4272: 4269: 4268: 4257: 4246: 4234: 4233: 4231: 4227: 4226: 4223: 4222: 4211: 4200: 4185: 4169: 4164: 4163: 4161: 4160:Classification 4151: 4150: 4147: 4146: 4144: 4143: 4138: 4133: 4132: 4131: 4126: 4116: 4111: 4105: 4103: 4099: 4098: 4096: 4095: 4090: 4084: 4083: 4082: 4071: 4069: 4062: 4056: 4055: 4052: 4051: 4049: 4048: 4042: 4040: 4034: 4033: 4031: 4030: 4025: 4020: 4015: 4010: 4005: 4000: 3994: 3992: 3988: 3987: 3985: 3984: 3979: 3973: 3971: 3964: 3948: 3947: 3944: 3943: 3941: 3940: 3935: 3930: 3924: 3922: 3918: 3917: 3915: 3914: 3912:Serum sickness 3909: 3904: 3899: 3894: 3889: 3884: 3878: 3876: 3869: 3866:Immune complex 3857: 3856: 3853: 3852: 3849: 3848: 3846: 3845: 3840: 3835: 3829: 3827: 3816: 3815: 3813: 3812: 3807: 3802: 3797: 3792: 3787: 3782: 3776: 3774: 3765: 3761: 3760: 3758: 3753: 3751: 3744: 3743: 3742: 3741: 3740: 3735: 3717: 3716: 3713: 3712: 3710: 3709: 3704: 3698: 3696: 3692: 3691: 3689: 3688: 3683: 3682: 3681: 3676: 3671: 3666: 3661: 3656: 3651: 3640: 3635: 3630: 3624: 3619: 3613: 3611: 3604: 3584: 3583: 3574: 3572: 3571: 3564: 3557: 3549: 3540: 3539: 3537: 3536: 3531: 3526: 3525: 3524: 3519: 3509: 3503: 3501: 3497: 3496: 3494: 3493: 3488: 3487: 3486: 3476: 3471: 3470: 3469: 3464: 3459: 3457:herpes simplex 3454: 3444: 3438: 3436: 3432: 3431: 3428: 3427: 3425: 3424: 3423: 3422: 3417: 3405: 3399: 3397: 3391: 3390: 3388: 3387: 3382: 3376: 3374: 3372:Nervous system 3368: 3367: 3365: 3364: 3359: 3353: 3351: 3340: 3339: 3337: 3336: 3331: 3326: 3320: 3318: 3312: 3311: 3309: 3308: 3303: 3302: 3301: 3291: 3285: 3284: 3283: 3282: 3277: 3267: 3262: 3261: 3260: 3255: 3250: 3245: 3240: 3229: 3228: 3222: 3220: 3209: 3208: 3206: 3205: 3200: 3194: 3192: 3190:Cardiovascular 3186: 3185: 3183: 3182: 3177: 3172: 3171: 3170: 3165: 3153: 3148: 3143: 3138: 3132: 3130: 3121: 3117: 3116: 3114: 3113: 3112: 3111: 3106: 3096: 3095: 3094: 3089: 3084: 3079: 3066: 3064: 3058: 3057: 3055: 3054: 3049: 3040: 3030: 3028: 3024: 3023: 3020: 3019: 3017: 3016: 3011: 3006: 3000: 2998: 2988: 2987: 2985: 2984: 2979: 2974: 2968: 2966: 2962:umbilical cord 2956: 2955: 2953: 2952: 2946: 2944: 2930: 2929: 2927: 2926: 2921: 2916: 2910: 2908: 2895: 2887: 2886: 2876: 2874: 2873: 2866: 2859: 2851: 2844: 2843:External links 2841: 2839: 2838: 2825: 2819: 2802: 2776:(2): 272–275. 2764: 2762: 2759: 2756: 2755: 2729: 2712: 2683:(5): 346–353. 2663: 2646: 2597: 2554: 2533:(1): 297–316. 2508: 2483: 2444: 2415:(6): 814–820. 2395: 2384:. October 2001 2366: 2344: 2312: 2290: 2241: 2205: 2186:(2): 131–136. 2170: 2143:(6): 183–185. 2127: 2083: 2073: 2064: 2055: 2012: 1985: 1954: 1898: 1887:on 24 May 2018 1868: 1827: 1796:(2): 150–154. 1776: 1733: 1707: 1680:(2): 113–116. 1661: 1609: 1558: 1533: 1504:(5): 575–576. 1484: 1457:(2): 112–115. 1441: 1412:(3): 201–203. 1392: 1365:(4): 328–333. 1346: 1325:(2): 236–243. 1302: 1260: 1241:(6): 693–705. 1225: 1206:(2): 117–125. 1190: 1147: 1118:(2): F83–F88. 1087: 1051: 1002: 953: 936: 902: 901: 899: 896: 895: 894: 889: 884: 879: 874: 869: 864: 859: 854: 847: 844: 839: 836: 824: 821: 820: 819: 815: 811: 786: 783: 782: 781: 777: 774: 771: 768: 765: 761: 753: 752: 746: 743: 735: 734: 727: 724: 721: 708: 707: 703: 685: 682: 681: 680: 670: 669: 666: 654: 653: 646: 620: 605: 568: 565: 549: 545: 511: 508: 490: 419: 416: 415: 414: 407: 400: 397: 394: 391: 389:Cerebral Palsy 386: 383: 380: 336: 333: 308:, generalized 302:enlarged liver 234:Rhesus disease 225: 222: 102: 101: 92: 86: 85: 68: 62: 61: 53: 52: 49: 45: 44: 36: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 4320: 4309: 4306: 4304: 4301: 4299: 4296: 4294: 4291: 4289: 4286: 4285: 4283: 4267: 4263: 4262: 4258: 4256: 4252: 4251: 4247: 4245: 4241: 4240: 4236: 4235: 4232: 4228: 4221: 4217: 4216: 4212: 4210: 4206: 4205: 4201: 4199: 4195: 4194: 4190: 4186: 4184: 4180: 4179: 4175: 4171: 4170: 4167: 4162: 4158: 4142: 4139: 4137: 4134: 4130: 4127: 4125: 4122: 4121: 4120: 4117: 4115: 4112: 4110: 4107: 4106: 4104: 4100: 4094: 4091: 4088: 4087:Latex allergy 4085: 4081: 4078: 4077: 4076: 4073: 4072: 4070: 4066: 4063: 4057: 4047: 4044: 4043: 4041: 4039: 4035: 4029: 4026: 4024: 4021: 4019: 4016: 4014: 4011: 4009: 4006: 4004: 4001: 3999: 3996: 3995: 3993: 3989: 3983: 3980: 3978: 3975: 3974: 3972: 3968: 3965: 3962: 3957: 3956:cell-mediated 3953: 3949: 3939: 3936: 3934: 3931: 3929: 3926: 3925: 3923: 3919: 3913: 3910: 3908: 3905: 3903: 3900: 3898: 3895: 3893: 3890: 3888: 3887:Farmer's lung 3885: 3883: 3880: 3879: 3877: 3873: 3870: 3867: 3862: 3858: 3844: 3841: 3839: 3836: 3834: 3831: 3830: 3828: 3826: 3822: 3817: 3811: 3808: 3806: 3803: 3801: 3798: 3796: 3793: 3791: 3788: 3786: 3783: 3781: 3778: 3777: 3775: 3773: 3769: 3766: 3762: 3757: 3754: 3752: 3748: 3745: 3739: 3736: 3734: 3731: 3730: 3729: 3728: 3726: 3722: 3718: 3708: 3705: 3703: 3700: 3699: 3697: 3693: 3687: 3684: 3680: 3677: 3675: 3672: 3670: 3667: 3665: 3662: 3660: 3657: 3655: 3652: 3650: 3646: 3645: 3644: 3641: 3639: 3636: 3634: 3631: 3628: 3625: 3623: 3620: 3618: 3615: 3614: 3612: 3608: 3605: 3602: 3597: 3593: 3589: 3585: 3581: 3577: 3570: 3565: 3563: 3558: 3556: 3551: 3550: 3547: 3535: 3532: 3530: 3527: 3523: 3520: 3518: 3515: 3514: 3513: 3510: 3508: 3505: 3504: 3502: 3498: 3492: 3489: 3485: 3482: 3481: 3480: 3477: 3475: 3472: 3468: 3465: 3463: 3460: 3458: 3455: 3453: 3450: 3449: 3448: 3445: 3443: 3440: 3439: 3437: 3433: 3421: 3418: 3416: 3413: 3412: 3411: 3410: 3406: 3404: 3401: 3400: 3398: 3396: 3392: 3386: 3383: 3381: 3378: 3377: 3375: 3373: 3369: 3363: 3360: 3358: 3355: 3354: 3352: 3350: 3345: 3341: 3335: 3332: 3330: 3327: 3325: 3322: 3321: 3319: 3317: 3313: 3307: 3304: 3300: 3297: 3296: 3295: 3292: 3290: 3287: 3286: 3281: 3278: 3276: 3273: 3272: 3271: 3268: 3266: 3263: 3259: 3256: 3254: 3251: 3249: 3246: 3244: 3241: 3239: 3236: 3235: 3234: 3231: 3230: 3227: 3224: 3223: 3221: 3219: 3214: 3210: 3204: 3201: 3199: 3196: 3195: 3193: 3191: 3187: 3181: 3178: 3176: 3173: 3169: 3166: 3164: 3161: 3160: 3159: 3158: 3154: 3152: 3149: 3147: 3144: 3142: 3139: 3137: 3134: 3133: 3131: 3129: 3125: 3122: 3118: 3110: 3107: 3105: 3102: 3101: 3100: 3097: 3093: 3090: 3088: 3085: 3083: 3080: 3078: 3075: 3074: 3073: 3072: 3068: 3067: 3065: 3063: 3059: 3053: 3050: 3048: 3044: 3043:Preterm birth 3041: 3039: 3035: 3032: 3031: 3029: 3025: 3015: 3012: 3010: 3007: 3005: 3002: 3001: 2999: 2996: 2995: 2989: 2983: 2980: 2978: 2975: 2973: 2970: 2969: 2967: 2964: 2963: 2957: 2951: 2948: 2947: 2945: 2942: 2941: 2937: 2931: 2925: 2922: 2920: 2917: 2915: 2912: 2911: 2909: 2906: 2905: 2899: 2896: 2888: 2884: 2883:fetal disease 2880: 2872: 2867: 2865: 2860: 2858: 2853: 2852: 2849: 2842: 2835: 2831: 2826: 2822: 2816: 2811: 2810: 2803: 2799: 2795: 2791: 2787: 2783: 2779: 2775: 2771: 2766: 2765: 2760: 2751: 2747: 2743: 2739: 2733: 2730: 2727: 2723: 2722: 2716: 2713: 2708: 2704: 2699: 2694: 2690: 2686: 2682: 2678: 2674: 2667: 2664: 2661: 2657: 2656: 2650: 2647: 2642: 2638: 2633: 2628: 2624: 2620: 2616: 2612: 2608: 2601: 2598: 2593: 2589: 2585: 2581: 2577: 2573: 2569: 2565: 2558: 2555: 2550: 2546: 2541: 2536: 2532: 2528: 2524: 2517: 2515: 2513: 2509: 2497: 2493: 2487: 2484: 2469: 2465: 2461: 2454: 2448: 2445: 2440: 2436: 2432: 2428: 2423: 2418: 2414: 2410: 2406: 2399: 2396: 2383: 2376: 2370: 2367: 2362: 2358: 2351: 2349: 2345: 2332: 2328: 2321: 2319: 2317: 2313: 2308: 2304: 2297: 2295: 2291: 2286: 2282: 2278: 2274: 2269: 2264: 2260: 2256: 2252: 2245: 2242: 2237: 2233: 2229: 2225: 2221: 2217: 2209: 2206: 2201: 2197: 2193: 2189: 2185: 2181: 2174: 2171: 2166: 2162: 2158: 2154: 2150: 2146: 2142: 2138: 2131: 2128: 2123: 2119: 2115: 2111: 2107: 2103: 2099: 2095: 2087: 2084: 2077: 2074: 2068: 2065: 2059: 2056: 2051: 2047: 2043: 2039: 2035: 2031: 2027: 2023: 2016: 2013: 2000: 1996: 1989: 1986: 1974: 1967: 1966: 1958: 1955: 1950: 1946: 1941: 1936: 1931: 1926: 1923:(1): 98–101. 1922: 1918: 1914: 1907: 1905: 1903: 1899: 1886: 1882: 1878: 1872: 1869: 1864: 1860: 1855: 1850: 1846: 1842: 1838: 1831: 1828: 1823: 1819: 1814: 1809: 1804: 1799: 1795: 1791: 1787: 1780: 1777: 1772: 1768: 1764: 1760: 1756: 1752: 1748: 1744: 1737: 1734: 1729: 1725: 1718: 1716: 1714: 1712: 1708: 1703: 1699: 1695: 1691: 1687: 1683: 1679: 1675: 1668: 1666: 1662: 1657: 1653: 1649: 1645: 1640: 1635: 1632:(2): 99–113. 1631: 1627: 1626:Vox Sanguinis 1623: 1616: 1614: 1610: 1605: 1601: 1596: 1591: 1586: 1581: 1577: 1573: 1569: 1562: 1559: 1547: 1543: 1537: 1534: 1529: 1525: 1521: 1517: 1512: 1507: 1503: 1499: 1495: 1488: 1485: 1480: 1476: 1472: 1468: 1464: 1460: 1456: 1452: 1445: 1442: 1437: 1433: 1428: 1423: 1419: 1415: 1411: 1407: 1403: 1396: 1393: 1388: 1384: 1380: 1376: 1372: 1368: 1364: 1360: 1359:Vox Sanguinis 1353: 1351: 1347: 1342: 1338: 1333: 1328: 1324: 1320: 1316: 1309: 1307: 1303: 1298: 1294: 1290: 1286: 1282: 1278: 1271: 1269: 1267: 1265: 1261: 1256: 1252: 1248: 1244: 1240: 1236: 1229: 1226: 1221: 1217: 1213: 1209: 1205: 1201: 1194: 1191: 1186: 1182: 1178: 1174: 1170: 1166: 1162: 1158: 1151: 1148: 1143: 1139: 1134: 1129: 1125: 1121: 1117: 1113: 1109: 1102: 1100: 1098: 1096: 1094: 1092: 1088: 1083: 1082: 1077: 1070: 1068: 1066: 1064: 1062: 1060: 1058: 1056: 1052: 1047: 1043: 1038: 1033: 1029: 1025: 1021: 1017: 1013: 1006: 1003: 998: 994: 989: 984: 980: 976: 972: 968: 964: 957: 954: 951: 950: 945: 940: 937: 926: 922: 918: 914: 907: 904: 897: 893: 890: 888: 885: 883: 880: 878: 875: 873: 870: 868: 865: 863: 860: 858: 855: 853: 850: 849: 845: 843: 837: 835: 832: 829: 822: 816: 812: 808: 807: 806: 804: 800: 796: 792: 784: 778: 775: 772: 769: 766: 762: 759: 758: 757: 749: 748: 744: 742: 740: 732: 728: 725: 722: 719: 715: 714: 713: 712: 704: 700: 699: 698: 697: 693: 691: 683: 678: 677: 676: 674: 667: 665: 661: 660: 659: 658: 651: 647: 644: 643:erythroblasts 640: 636: 632: 628: 624: 621: 618: 614: 610: 606: 603: 599: 595: 594: 593: 592: 588: 586: 582: 579: 574: 566: 564: 560: 557: 554: 543: 539: 536: 535:Rhesus c HDFN 532: 530: 526: 522: 520: 516: 509: 507: 504: 499: 497: 493: 486: 482: 478: 473: 471: 467: 463: 459: 455: 451: 447: 443: 439: 437: 433: 429: 425: 417: 412: 408: 405: 401: 398: 395: 392: 390: 387: 384: 381: 378: 377: 376: 374: 370: 366: 363:, congenital 362: 359:, congenital 358: 354: 350: 346: 342: 335:Complications 334: 332: 330: 326: 325:heart failure 322: 317: 315: 311: 307: 303: 299: 295: 294:heart failure 291: 290:neurotoxicity 287: 283: 279: 275: 271: 267: 263: 259: 255: 251: 247: 239: 235: 230: 223: 221: 219: 215: 211: 207: 203: 199: 195: 191: 186: 184: 180: 176: 175:erythroblasts 172: 168: 164: 160: 156: 152: 148: 144: 140: 136: 132: 128: 124: 120: 116: 112: 108: 100: 96: 95:heart failure 93: 91: 90:Complications 87: 82: 76: 72: 69: 67: 63: 59: 54: 50: 46: 41: 33: 19: 4259: 4248: 4237: 4213: 4202: 4187: 4172: 3982:Mantoux test 3755: 3643:Food allergy 3407: 3232: 3163:Pneumothorax 3155: 3069: 3062:Birth trauma 3004:Breech birth 2994:presentation 2992: 2960: 2934: 2902: 2833: 2808: 2773: 2769: 2750:the original 2741: 2732: 2719: 2715: 2680: 2676: 2666: 2653: 2649: 2617:(1): F6-10. 2614: 2610: 2600: 2567: 2563: 2557: 2530: 2526: 2499:. Retrieved 2495: 2486: 2475:, retrieved 2468:the original 2459: 2447: 2412: 2408: 2398: 2386:. Retrieved 2369: 2360: 2335:. Retrieved 2330: 2306: 2261:(1): 13–17. 2258: 2254: 2244: 2219: 2215: 2208: 2183: 2179: 2173: 2140: 2136: 2130: 2100:(1): 85–88. 2097: 2093: 2086: 2076: 2067: 2058: 2025: 2021: 2015: 2003:. Retrieved 1998: 1988: 1977:, retrieved 1964: 1957: 1920: 1916: 1889:. Retrieved 1885:the original 1880: 1871: 1844: 1840: 1830: 1793: 1789: 1779: 1746: 1742: 1736: 1727: 1677: 1673: 1629: 1625: 1575: 1571: 1561: 1549:. Retrieved 1545: 1536: 1501: 1497: 1487: 1454: 1450: 1444: 1409: 1405: 1395: 1362: 1358: 1322: 1318: 1280: 1276: 1238: 1234: 1228: 1203: 1199: 1193: 1163:(1): 54–59. 1160: 1156: 1150: 1115: 1111: 1079: 1019: 1015: 1005: 970: 966: 956: 947: 939: 928:. Retrieved 916: 906: 841: 838:Epidemiology 833: 830: 826: 818:transfusion. 791:phototherapy 788: 754: 736: 710: 709: 695: 694: 687: 672: 671: 656: 655: 635:schistocytes 623:Reticulocyte 590: 589: 570: 561: 558: 555: 540: 533: 523: 517: 513: 500: 474: 440: 431: 421: 410: 403: 338: 318: 243: 187: 178: 122: 118: 114: 110: 106: 105: 99:splenomegaly 4239:MedlinePlus 3633:Anaphylaxis 3629:(Hay fever) 3507:Miscarriage 3409:muscle tone 3275:Kernicterus 3128:Respiratory 3104:Erb's palsy 3009:Asynclitism 2977:Nuchal cord 780:conditions. 396:Neutropenia 393:Kernicterus 341:kernicterus 286:kernicterus 254:neutropenia 48:Other names 4282:Categories 4261:Patient UK 4215:DiseasesDB 4102:Autoimmune 3991:Autoimmune 3921:Autoimmune 3764:Autoimmune 3695:Autoimmune 3517:Stillbirth 3474:Omphalitis 3435:Infections 3344:Integument 2527:Pediatrics 1578:(1): 3–7. 930:2022-03-08 917:StatPearls 898:References 857:Rh disease 764:anti-Kell. 684:Prevention 627:morphology 617:hematocrit 613:hemoglobin 454:childbirth 436:antibodies 361:toxoplasma 139:antibodies 127:alloimmune 71:Pediatrics 4250:eMedicine 3772:Cytotoxic 3243:Anti-Kell 2881:period / 2879:perinatal 2726:eMedicine 2660:eMedicine 2361:EMedicine 2307:EMedicine 2277:2348-1153 2165:206013087 2081:33115620. 1728:EMedicine 785:Treatment 662:Positive 648:Positive 631:hemolysis 602:bilirubin 573:diagnosis 567:Diagnosis 470:hemolysis 462:pregnancy 369:bile duct 266:bilirubin 262:Hemolysis 260:as well. 214:anti-Kell 66:Specialty 4061:multiple 4059:Unknown/ 3861:Type III 3825:receptor 3674:Tree nut 3213:Bleeding 2904:placenta 2798:36953155 2707:21512623 2641:12496219 2592:25144401 2584:20092394 2549:15231951 2439:19672347 2431:16941575 2337:31 March 2331:UpToDate 2285:42005756 2236:17306655 2200:17045529 2157:19003884 2122:22822621 2042:11117776 1949:25722586 1822:26420934 1771:24848319 1763:17470588 1702:21936425 1656:41260754 1648:25899660 1604:21572705 1520:29676454 1479:32155893 1471:10379500 1436:20212966 1387:24789324 1379:23802744 1341:14413526 1255:18866937 1220:16338186 1185:19663259 1177:15578034 1142:17337672 1081:Medscape 1046:26889318 997:24801308 925:30020664 846:See also 803:acidosis 739:globulin 598:jaundice 458:placenta 446:abortion 432:in utero 365:syphilis 310:swelling 274:jaundice 270:symptoms 210:anti-Rhc 206:anti-RhE 202:anti-RhD 147:antigens 143:placenta 125:, is an 4255:ped/959 4209:D004899 4068:Foreign 3970:Foreign 3961:T cells 3952:Type IV 3875:Foreign 3750:Foreign 3721:Type II 3664:Seafood 3610:Foreign 3592:allergy 3452:rubella 3082:Chignon 2936:chorion 2790:9015034 2744:, U.S. 2698:3076326 2632:1755998 2501:24 July 2114:9085208 2050:1240358 1940:4339947 1863:9504940 1813:4562135 1694:7655573 1595:3082712 1551:24 July 1528:4998222 1427:2828194 1297:2494315 1133:2675453 1037:4742050 1022:: 137. 988:4258779 706:losses. 604:levels. 460:during 424:antigen 304:and/or 296:, with 278:icterus 153:in the 149:on the 4244:001298 4089:(I+IV) 3821:Type V 3659:Peanut 3588:Type I 3027:Growth 2940:amnion 2817:  2796:  2788:  2705:  2695:  2639:  2629:  2590:  2582:  2547:  2477:23 May 2437:  2429:  2388:23 May 2283:  2275:  2234:  2198:  2163:  2155:  2120:  2112:  2048:  2040:  2005:23 May 1979:23 May 1947:  1937:  1891:23 May 1861:  1820:  1810:  1769:  1761:  1700:  1692:  1654:  1646:  1602:  1592:  1526:  1518:  1477:  1469:  1434:  1424:  1385:  1377:  1339:  1295:  1253:  1218:  1183:  1175:  1140:  1130:  1044:  1034:  995:  985:  923:  810:clear. 751:blood. 716:IUT – 529:Rhogam 371:, and 312:, and 306:spleen 298:pallor 167:anemia 77:  3928:Lupus 3679:Wheat 3596:atopy 3500:Other 3324:Ileus 3071:scalp 2794:S2CID 2588:S2CID 2471:(PDF) 2456:(PDF) 2435:S2CID 2378:(PDF) 2281:S2CID 2161:S2CID 2118:S2CID 2046:S2CID 1969:(PDF) 1767:S2CID 1698:S2CID 1652:S2CID 1524:S2CID 1475:S2CID 1383:S2CID 1319:Blood 1181:S2CID 349:teeth 329:edema 131:fetus 121:, or 4220:5545 4204:MeSH 4193:9-CM 4129:APS2 4124:APS1 4038:GVHD 3725:ADCC 3654:Milk 3578:and 3258:Rh E 3253:Rh D 3248:Rh c 2815:ISBN 2786:PMID 2703:PMID 2637:PMID 2580:PMID 2545:PMID 2503:2021 2479:2018 2427:PMID 2390:2018 2339:2018 2273:ISSN 2232:PMID 2196:PMID 2153:PMID 2110:PMID 2038:PMID 2022:BJOG 2007:2018 1981:2018 1945:PMID 1893:2018 1859:PMID 1818:PMID 1759:PMID 1690:PMID 1644:PMID 1600:PMID 1553:2021 1516:PMID 1467:PMID 1432:PMID 1375:PMID 1337:PMID 1293:PMID 1251:PMID 1216:PMID 1173:PMID 1138:PMID 1042:PMID 993:PMID 921:PMID 615:and 571:The 489:Kell 256:and 165:and 119:HDFN 4198:773 4189:ICD 4183:P55 4174:ICD 3738:IgM 3733:IgG 3669:Soy 3649:Egg 3601:IgE 3346:and 3238:ABO 3233:HDN 3215:and 2778:doi 2724:at 2693:PMC 2685:doi 2658:at 2627:PMC 2619:doi 2572:doi 2535:doi 2531:114 2417:doi 2263:doi 2224:doi 2220:196 2188:doi 2145:doi 2102:doi 2030:doi 2026:107 1935:PMC 1925:doi 1849:doi 1845:338 1808:PMC 1798:doi 1751:doi 1747:109 1682:doi 1634:doi 1630:109 1590:PMC 1580:doi 1506:doi 1502:181 1459:doi 1422:PMC 1414:doi 1367:doi 1363:105 1327:doi 1285:doi 1281:114 1243:doi 1208:doi 1165:doi 1128:PMC 1120:doi 1032:PMC 1024:doi 983:PMC 975:doi 946:at 609:CBC 428:IgM 411:not 404:not 272:of 198:ABO 185:). 135:IgG 115:HDN 51:HDN 4284:: 4264:: 4253:: 4242:: 4218:: 4207:: 4196:: 4181:: 4178:10 3823:"/ 3045:/ 3036:/ 2832:. 2792:. 2784:. 2774:89 2772:. 2740:, 2701:. 2691:. 2681:35 2679:. 2675:. 2635:. 2625:. 2615:88 2613:. 2609:. 2586:. 2578:. 2568:23 2566:. 2543:. 2529:. 2525:. 2511:^ 2494:. 2458:, 2433:. 2425:. 2413:28 2411:. 2407:. 2380:. 2359:. 2347:^ 2329:. 2315:^ 2305:. 2293:^ 2279:. 2271:. 2257:. 2253:. 2230:. 2218:. 2194:. 2184:35 2182:. 2159:. 2151:. 2141:23 2139:. 2116:. 2108:. 2098:25 2096:. 2044:. 2036:. 2024:. 1997:. 1943:. 1933:. 1919:. 1915:. 1901:^ 1879:. 1857:. 1843:. 1839:. 1816:. 1806:. 1792:. 1788:. 1765:. 1757:. 1745:. 1726:. 1710:^ 1696:. 1688:. 1676:. 1664:^ 1650:. 1642:. 1628:. 1624:. 1612:^ 1598:. 1588:. 1574:. 1570:. 1544:. 1522:. 1514:. 1500:. 1496:. 1473:. 1465:. 1455:27 1453:. 1430:. 1420:. 1408:. 1404:. 1381:. 1373:. 1361:. 1349:^ 1335:. 1323:15 1321:. 1317:. 1305:^ 1291:. 1279:. 1263:^ 1249:. 1239:32 1237:. 1214:. 1204:11 1202:. 1179:. 1171:. 1161:25 1159:. 1136:. 1126:. 1116:92 1114:. 1110:. 1090:^ 1078:. 1054:^ 1040:. 1030:. 1020:22 1018:. 1014:. 991:. 981:. 971:43 969:. 965:. 915:. 797:, 587:. 479:. 452:, 448:, 351:, 343:, 331:. 316:. 300:, 208:, 204:, 200:, 157:, 117:, 113:, 97:, 73:, 4191:- 4176:- 4166:D 3963:) 3959:( 3954:/ 3868:) 3864:( 3819:" 3723:/ 3603:) 3599:( 3594:/ 3590:/ 3568:e 3561:t 3554:v 2938:/ 2870:e 2863:t 2856:v 2823:. 2800:. 2780:: 2709:. 2687:: 2643:. 2621:: 2594:. 2574:: 2551:. 2537:: 2505:. 2441:. 2419:: 2392:. 2363:. 2341:. 2309:. 2287:. 2265:: 2259:3 2238:. 2226:: 2202:. 2190:: 2167:. 2147:: 2124:. 2104:: 2052:. 2032:: 2009:. 1951:. 1927:: 1921:9 1895:. 1865:. 1851:: 1824:. 1800:: 1794:9 1773:. 1753:: 1730:. 1704:. 1684:: 1678:5 1658:. 1636:: 1606:. 1582:: 1576:5 1555:. 1530:. 1508:: 1481:. 1461:: 1438:. 1416:: 1410:4 1389:. 1369:: 1343:. 1329:: 1299:. 1287:: 1257:. 1245:: 1222:. 1210:: 1187:. 1167:: 1144:. 1122:: 1084:. 1048:. 1026:: 999:. 977:: 933:. 550:1 546:1 491:1 34:. 20:)

Index

Haemolytic disease of the newborn
Hemorrhagic disease of the newborn

Specialty
Pediatrics
immunohaematology
Edit this on Wikidata
Complications
heart failure
splenomegaly
alloimmune
fetus
IgG
antibodies
placenta
antigens
red blood cells
fetal circulation
breaking down and destroying the cells
reticulocytosis
anemia
hydrops fetalis
erythroblasts
immune privilege
immune tolerance in pregnancy
ABO
anti-RhD
anti-RhE
anti-Rhc
anti-Kell

Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.