AI Article Synopsis

  • The prevalence of non-Rh-D isoimmunization in pregnancies ranges from 0.15% to 1.1%, with anti-Rh(c) alloimmunization occurring in about 0.07%.
  • Late anemia is a common complication associated with isoimmunization, especially following procedures like intrauterine blood transfusions.
  • Human recombinant erythropoietin has been identified as an effective treatment for preventing late anemia caused by both anti-Rh-D and non-anti-Rh-D isoimmunization.

Article Abstract

The overall prevalence of non-Rh-D isoimmunization seems to lie between 0.15% and 1.1%. Anti-Rh(c) alloimmunization, "little c," occurs in 0.07% of pregnancies and shows a quite broad clinical presentation. Late anemia is a frequent problem occurring in the setting of isoimmunization. It occurs more frequently after intrauterine blood transfusions or exsanguinotransfusion, and it can be thought as a hyporegenerative anemia. The authors describe the use of human recombinant erythropoietin in preventing late anemia in a case of anti-Rh(c) isoimmunization. The use of human recombinant erythropoietin is a valid tool for preventing late-onset anemia due to either anti-Rh-D or non-anti-Rh-D isoimmunization.

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http://dx.doi.org/10.1097/MPH.0b013e318271f5b0DOI Listing

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