rss
Arch Dis Child Fetal Neonatal Ed 88:F6-F10 doi:10.1136/fn.88.1.F6
  • Review

Systematic review of intravenous immunoglobulin in haemolytic disease of the newborn

Table 1

Characteristics of studies included

Gestation Birth weight (g)
Study Methods Participants IVIG C IVIG C No of infants in study IVIG dose Exchange transfusion criteria Outcomes reported Jadad score
Gestation and birth weight are given as means (SD).
*Information given in Rübo and Wahn.18
IVIG, Intravenous immunoglobulin group; C, control group; Rh, rhesus; HDN, haemolytic disease of the newborn; DCT, direct Coomb’s test; Retics, reticulocyte count; SBR, serum bilirubin; nk, not known.
Alpay et al15 Single centre ABO and/or RH HDN, DCT +ve, Retics ≥10% nk nk 3413 (116.4) 3396 (63.9) 116 1 g/kg over 4 hours SBR >290 μmol/l and increasing by >17 μmol/l/hour Exchange transfusion, phototherapy duration, length of hospital stay, late anaemia 2
Dagoglu et al16 Single centre, random number, sealed envelopes Rh HDN, DCT +ve, Rh −ve Mum 36.1 (2.3) 36.1 (1.7) 2851 (469) 2690 (346) 41 0.5 g/kg SBR >340 μmol/l in the first 72 hours or increasing by >17 μmol/l/hour Exchange transfusion, late anaemia 3
Rübo et al17 Multicentre Rh HDN, DCT +ve, Rh −ve Mum nk nk 3119* (546) 2899* (562) 32 0.5 g/kg over 2 hours SBR >34 μmol/l above Polácek’s exchange lines Exchange transfusion, late anaemia 1
Voto et al19 Single centre Rh HDN, DCT +ve, RH +ve infant 37 (3) 37.5 (2.5) 2803 (573) 2866 (579) 37 0.8 g/kg/day given daily for 3 days Based on postnatal age, birth weight and SBR, as defined in their paper Exchange transfusion, phototherapy duration, length of hospital stay 1

This Article

Latest from Education & Practice

Latest from Education & Practice

Register for free content

Free sample
This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of ADC Fetal & Neonatal.
View free sample issue >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

  • Paediatrics and Paediatric Surgery Jobs

    Paediatrics and Paediatric Surgery Jobs