{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T01:52:01Z","timestamp":1792547521525,"version":"4.5.0"},"reference-count":92,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vox Sanguinis"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Haemolytic disease of the foetus and newborn (HDFN) caused by anti\u2010M antibodies is historically considered clinically insignificant. This systematic review aims to comprehensively evaluate the literature on anti\u2010M\u2010mediated HDFN, assessing its clinical spectrum, risk factors, management and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A systematic search was conducted across PubMed, Chongqing VIP information Co., Ltd (CQVIP), Wanfang Data and China National Knowledge Infrastructure (CNKI) from database inception (PubMed 1966, CNKI 1979) to 30 April 2024. Studies published in English or Chinese, which reported diagnostic parameters, clinical management or quantifiable outcomes of anti\u2010M\u2010mediated HDFN, were included. Data on maternal history, serological results, interventions and perinatal outcomes were extracted and analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among cases reported in the Chinese and English language literature included in this review, a marked geographical concentration was observed, primarily reflecting the inclusion of Chinese\u2010language databases. Severe HDFN was significantly associated with multiparity, adverse pregnancy history and elevated antibody titres (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Notably, 65% (61\/94) of neonates tested were direct antiglobulin test (DAT)\u2010negative, and 50% (14\/28) of anti\u2010M samples exhibited stronger reactivity at 4\u00b0C\/room temperature than at 37\u00b0C. Clinically, antenatal interventions were required in 20.3% (25\/123) of pregnancies. Outcomes included total pregnancy loss in 11.4% (14\/123) and persistent neonatal anaemia in 13.0% (14\/108) of live births.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Within the Chinese and English language literature, anti\u2010M\u2010mediated HDFN is shown to be a cause of severe perinatal morbidity and mortality, with a pronounced overrepresentation of severe cases in Asian populations. The findings highlight the necessity of dual\u2010temperature serological testing and vigilant monitoring of at\u2010risk pregnancies. The observed ethnic concentration warrants further investigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/vox.70316","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T01:58:46Z","timestamp":1782957526000},"page":"1129-1137","source":"Crossref","is-referenced-by-count":2,"title":["Haemolytic disease of the foetus and newborn due to anti\u2010M: A systematic review"],"prefix":"10.1111","volume":"121","author":[{"given":"Lixin","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Transfusion Medicine Sichuan University West China Hospital  Chengdu Sichuan People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Transfusion Medicine Sichuan University West China Hospital  Chengdu Sichuan People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Transfusion Medicine West China Xiamen Hospital of Sichuan University  Xiamen People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fu","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Transfusion Medicine Sichuan University West China Hospital  Chengdu Sichuan People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Transfusion Medicine Sichuan University West China Hospital  Chengdu Sichuan People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"StatPearls [Internet]","author":"Hall V","year":"2025"},{"key":"e_1_2_9_3_1","article-title":"Non\u2010RhD alloimmunization in pregnancy: an updated review","volume":"46","author":"Ares SM","year":"2024","journal-title":"J Perinat Med"},{"key":"e_1_2_9_4_1","volume-title":"Technical manual","year":"2011"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-03235-w"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1537-2995.2007.01625.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016348309154215"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1607028"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tmrv.2013.10.002"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.15054"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000005709"},{"key":"e_1_2_9_12_1","unstructured":"Royal College of Obstetricians and Gynaecologists.The management of women with red cell antibodies during pregnancy (Green\u2010top Guideline No. 65) [Internet].2014. 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