[Antenatal treatment of maternal-fetal Rh incompatibility hemolysis disease].
OBJECTIVE
To study the effective antenatal treatment of maternal-fetal Rh incompatibility hemolysis disease to improve fetal outcome.


METHODS
Besides therapy of plasmapheresis, the immune globulin intravenous infusion (IVIg) was added for antenatal treatment of fetal hemolysis disease due to Rh incompatibility. Every 7-20 days 10 g IVIg was administered according to the titer of Rh antibody in maternal serum.


RESULTS
5 Rh negative pregnant women with poor obsterical history were treated with this protocol. Total IVIg infusion was 12 times with an average of 2.4 times per case, and there was no side effects. Plasmapheresis was used 18 times totally with an average of 3.6 per case. There was no fetal death. All the five newborns underwent exchange transfusion and IVIg therapy, and all were survival.


CONCLUSIONS
IVIg may enter fetal blood circulation via placenta, and adjust fetal immune ability to reduce the degree of fetal hemolysis.
Zhao
L
L
Beijing Obstetrics and Gynecology Hospital.
Huang
X
X
Wang
Q
Q
D000328:Adult; D004899:Erythroblastosis, Fetal / Q000517:prevention & control / Q000628:therapy*; D005260:Female; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use*; D007231:Infant, Newborn; D010956:Plasmapheresis; D011247:Pregnancy; D012204:Rh-Hr Blood-Group System
D016756:Immunoglobulins, Intravenous; D012204:Rh-Hr Blood-Group System