{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T15:25:25Z","timestamp":1770823525858,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,3,4]],"date-time":"2019-03-04T00:00:00Z","timestamp":1551657600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vox Sanguinis"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Fetal <jats:italic><jats:styled-content style=\"fixed-case\">RHD<\/jats:styled-content><\/jats:italic> genotyping of cell\u2010free fetal <jats:styled-content style=\"fixed-case\">DNA<\/jats:styled-content> from RhD\u2010negative pregnant women can be used to guide targeted antenatal and postnatal anti\u2010D prophylaxis for the prevention of RhD immunization. To assure the quality of clinical testing, we conducted an external quality assessment workshop with the participation of 28 laboratories.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Aliquots of pooled maternal plasma were sent to each laboratory. One sample was positive, and the second sample was negative for fetal <jats:italic><jats:styled-content style=\"fixed-case\">RHD<\/jats:styled-content><\/jats:italic>, verified by pre\u2010workshop testing using quantitative real\u2010time <jats:styled-content style=\"fixed-case\">PCR<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">qPCR<\/jats:styled-content>) analysis of <jats:italic><jats:styled-content style=\"fixed-case\">RHD<\/jats:styled-content><\/jats:italic> exons 4, 5, 7 and 10. Plasma samples were shipped at room temperature. A reporting scheme was supplied for data collection, including questions regarding the methodological setup, results and clinical recommendations. Different methodological approaches were used, all employing <jats:styled-content style=\"fixed-case\">qPCR<\/jats:styled-content> with a total of eight different combinations of <jats:italic><jats:styled-content style=\"fixed-case\">RHD<\/jats:styled-content><\/jats:italic> exon targets. The samples were tested blindly.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fetal <jats:italic><jats:styled-content style=\"fixed-case\">RHD<\/jats:styled-content><\/jats:italic> genotyping was performed with no false\u2010negative and no false\u2010positive results. One inconclusive result was reported for the <jats:italic><jats:styled-content style=\"fixed-case\">RHD<\/jats:styled-content><\/jats:italic>\u2010positive sample, and four inconclusive results were reported for the <jats:italic><jats:styled-content style=\"fixed-case\">RHD<\/jats:styled-content><\/jats:italic>\u2010negative sample. All clinical conclusions were satisfactory.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This external quality assessment workshop demonstrates that despite the different approaches taken to perform the clinical assays, fetal <jats:italic><jats:styled-content style=\"fixed-case\">RHD<\/jats:styled-content><\/jats:italic> genotyping is a reliable laboratory assay to guide targeted use of Rh prophylaxis in a clinical setting.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vox.12768","type":"journal-article","created":{"date-parts":[[2019,3,5]],"date-time":"2019-03-05T03:07:32Z","timestamp":1551755252000},"page":"386-393","source":"Crossref","is-referenced-by-count":19,"title":["Noninvasive fetal <i><scp>RHD<\/scp><\/i> genotyping to guide targeted anti\u2010D prophylaxis\u2013an external quality assessment workshop"],"prefix":"10.1111","volume":"114","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2487-5373","authenticated-orcid":false,"given":"Frederik 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