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Evidence · Systematic review or meta-analysis

Hemolytic disease of the fetus and newborn: systematic literature review of the antenatal landscape.

Systematic review or meta-analysisBMC Pregnancy and Childbirth2023Full text
  • Anaemia and transfusion
  • Jaundice and haematology
  • Jaundice and phototherapy
  • Medical
  • Postnatal and transitional care
  • Transitional care

Summary

Systematic literature review of the antenatal treatment landscape and outcomes of Rh(D)- and Kell-mediated haemolytic disease of the fetus and newborn (HDFN). It covers prevalence, treatment patterns, clinical outcomes, efficacy and mortality, drawing largely on case reports and case series. Intrauterine transfusion was the most commonly reported antenatal treatment, with associated risks including hydrops and fetal mortality, and most births occurred at late preterm gestation. Evidence gaps and priorities for future research are identified.

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