{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T03:42:32Z","timestamp":1791776552085,"version":"4.3.4"},"reference-count":27,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2004,8,17]],"date-time":"2004-08-17T00:00:00Z","timestamp":1092700800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2004,9]]},"abstract":"<jats:p><jats:bold>BACKGROUND:\u2002<\/jats:bold>Clinically significant antibodies to high\u2010incident antigens present a challenge in hemolytic disease of the newborn. Antigen\u2010negative blood may be difficult to obtain for intrauterine transfusion (IUT). In these instances, maternal blood is de facto compatible regardless of an ABO mismatch.<\/jats:p><jats:p><jats:bold>CASE REPORT:\u2002<\/jats:bold>A group B\/D\u2010\u2010 woman with a history of hemolytic disease of the newborn due to anti\u2010Rh17 (titer 256) presented to the obstetrical clinic at 12 weeks gestation for management of her third pregnancy. She consented to donate blood for possible IUT.<\/jats:p><jats:p><jats:bold>STUDY DESIGN AND METHODS:\u2002<\/jats:bold>Washed maternal packed cells were suspended in saline to 75 percent Hct and irradiated before transfusion. The fetus was transfused via the intrahepatic vein.<\/jats:p><jats:p><jats:bold>RESULTS:\u2002<\/jats:bold>Ultrasound examination at 19 weeks indicated a hydropic fetus. The fetal blood group was O Rh+, direct antiglobulin test 4+, and hemoglobin 22 g per L. A total of 368 mL of maternal blood was transfused during seven procedures. Labor was induced at 38 weeks, and a 2560\u2010g male infant was delivered by Caesarian\u2010section due to fetal distress. The infant grouped as B Rh+, direct antiglobulin test negative. No group O red blood cells were detected. The hemoglobin level was 143 g per L rising to 209 g per L at discharge 3 days later. The indirect bilirubin was 55 \u00b5mol\/L and remained stable during the hospital stay. Phototherapy was discontinued after 1 day, and the infant was discharged without an exchange or top\u2010up transfusion.<\/jats:p><jats:p><jats:bold>CONCLUSIONS:\u2002<\/jats:bold>Maternal ABO\u2010mismatched blood is an alternate source for IUT in instances when antigen\u2010compatible allogenic blood is unavailable.<\/jats:p>","DOI":"10.1111\/j.1537-2995.2004.04082.x","type":"journal-article","created":{"date-parts":[[2004,8,17]],"date-time":"2004-08-17T09:10:39Z","timestamp":1092733839000},"page":"1357-1360","source":"Crossref","is-referenced-by-count":35,"title":["Maternal ABO\u2010mismatched blood for intrauterine transfusion of severe hemolytic disease of the newborn due to anti\u2010Rh17"],"prefix":"10.1111","volume":"44","author":[{"given":"G.A.","family":"Denomme","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Ryan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.G.R.","family":"Seaward","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.N.","family":"Kelly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.J.","family":"Fernandes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2004,8,17]]},"reference":[{"issue":"2","key":"e_1_2_7_2_2","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1111\/j.1423-0410.2000.tb00047.x","article-title":"Molecular genetics of RH","volume":"78","author":"Flegel WA","year":"2000","journal-title":"Vox Sang"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/166520a0"},{"key":"e_1_2_7_4_2","first-page":"124","article-title":"A possible deletion in a human Rh chromosome: a serological and genetic study","volume":"32","author":"Race RR","year":"1951","journal-title":"Br J Exp Pathol"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1159\/000153945"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0379-0738(83)90012-9"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1423-0410.1973.tb02642.x"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(16)36267-6"},{"key":"e_1_2_7_9_2","doi-asserted-by":"crossref","first-page":"40","DOI":"10.21307\/immunohematology-2019-507","article-title":"Moderate hemolytic disease of the newborn (HDN) due to anti\u2010Rh17 produced by a black female with an e variant phenotype","volume":"18","author":"Brumit MC","year":"2002","journal-title":"Immunohematology"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7210775"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1537-2995.1999.t01-1-39101150.x"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-994188"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1159\/000075147"},{"key":"e_1_2_7_14_2","first-page":"158","article-title":"Serial maternal blood donations for intrauterine transfusion","volume":"75","author":"Gonsoulin WJ","year":"1990","journal-title":"Obstet Gynecol"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(00)00430-9"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(02)02180-4"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1423-0410.2000.7810044.x"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1159\/000154016"},{"key":"e_1_2_7_19_2","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1111\/j.1365-2141.1955.tb05512.x","article-title":"Consanguinity and two rare matings; 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