from Section 3 - Fetal Medicine
Published online by Cambridge University Press: 20 November 2021
Fetal haemolysis results from the breakdown of red blood cells secondary to immunoglobulin G (IgG) antibodies that pass from the mother through to the fetus resulting in anaemia and fetal hydrops which may result in intrauterine fetal death [1]. Fetal haemolysis is also known as haemolytic disease of the fetus and newborn (HDFN) and erythroblastosis fetalis. Historically, fetal haemolysis was almost synonymous with rhesus D (RhD) alloimmunization and was common until the late 1960s. Since crossmatching red blood cell transfusions for RhD and introduction of routine anti-D immunoglobin (anti-D Ig) prophylaxis in the 1970s, the spectrum of haemolytic disease of the fetus and newborn has changed dramatically [2].
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