{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T20:55:40Z","timestamp":1782852940813,"version":"3.54.5"},"reference-count":15,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>\n                    Exchange transfusion remains the definitive treatment for severe neonatal hyperbilirubinaemia; yet its aetiology and outcomes in rural tropical settings are poorly characterised. This five-year retrospective analysis of 58 neonates at a North Indian rural tertiary centre reveals that Rh incompatibility accounted for 76% of cases \u2013 a striking divergence from high income-country patterns where ABO incompatibility predominates \u2013 indicating critical gaps in antenatal Rh immuno-prophylaxis. The procedure achieved a mean bilirubin reduction of 50% (424\u2009\u00b1\u2009106 to 212\u2009\u00b1\u200970&amp;mu\/L,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.001) with no procedure-related mortality, though clinically significant adverse events occurred in 19% of neonates. Notably, 10.2% presented with acute bilirubin encephalopathy at the time of intervention, representing potentially preventable neurological injury. These findings make a compelling case for urgent, systematic improvements in antenatal screening, Rh immuno-prophylaxis access, and early jaundice recognition in tropical resource-limited settings.\n                  <\/jats:p>","DOI":"10.1177\/00494755261433655","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T09:35:43Z","timestamp":1773826543000},"page":"480-484","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Predominance of Rh-mediated haemolytic disease driving exchange transfusions in rural north India: A five-year retrospective analysis revealing critical prevention gaps"],"prefix":"10.1177","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9136-232X","authenticated-orcid":false,"given":"Muniba","family":"Alim","sequence":"first","affiliation":[{"name":"Uttar Pradesh University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jyoti Kala","family":"Bharati","sequence":"additional","affiliation":[{"name":"Uttar Pradesh University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8612-5979","authenticated-orcid":false,"given":"Dinesh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Uttar Pradesh University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6840-5694","authenticated-orcid":false,"given":"Durgesh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Uttar Pradesh University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/pr.2013.208"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(18)30139-1"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1159\/000441324"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-2910"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2002.019760"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2012.71"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.32677\/IJCH.2019.v06.i09.009"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/inthealth\/ihy045"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.transci.2019.09.008"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.114.1.297"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-0329"},{"key":"e_1_3_3_13_2","first-page":"11","article-title":"Exchange transfusion in severe neonatal hyperbilirubinemia: experience at a tertiary care hospital in kashmir, India","volume":"12","author":"Bhat MA","year":"2008","unstructured":"Bhat MA, Charoo BA, Bhat JI, et al. Exchange transfusion in severe neonatal hyperbilirubinemia: experience at a tertiary care hospital in kashmir, India. Indian J Crit Care Med 2008; 12: 11\u201314.","journal-title":"Indian J Crit Care Med"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.99.5.e7"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.75.2.417"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2004.01.054"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755261433655","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00494755261433655","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755261433655","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T19:55:57Z","timestamp":1782849357000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00494755261433655"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,18]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1177\/00494755261433655"],"URL":"https:\/\/doi.org\/10.1177\/00494755261433655","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,18]]}}}