Evidence map›Paper›PMID 37379821›Full record

ArticleFetal diagnosis and therapy2023

Terminating Routine Cord Blood RhD Typing of the Newborns to Guide Postnatal Anti-D Immunoglobulin Prophylaxis Based on the Results of Fetal RHD Genotyping.

Monica Stensrud, Mette Silihagen Bævre, Inger Margit Alm, Ho Yi Wong, Ida Herud, Barbora Jacobsen, Dijanne Dicky Jannie Anne de Vos, Helena Eriksson Stjern, Ingvild Hausberg Sørvoll, Janne Brit Barane and 6 more

Open access · greenAbstract read
In one paragraph

Article in Fetal diagnosis and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.7field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Noninvasive fetal blood group antigen genotyping.Blood transfusion = Trasfusione del sangue · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 10 institutions in 1 country.

Monica StensrudDepartment of Immunology and Transfusion Medicine, Oslo University Hospital, Oslo, Norway.
Mette Silihagen BævreDepartment of Immunology and Transfusion Medicine, Oslo University Hospital, Oslo, Norway.
Inger Margit AlmDepartment of Immunology and Transfusion Medicine, Oslo University Hospital, Oslo, Norway.
Ho Yi WongDepartment of Immunology and Transfusion Medicine, Oslo University Hospital, Oslo, Norway.
Ida HerudDepartment of Immunology and Transfusion Medicine, Oslo University Hospital, Oslo, Norway.
Barbora JacobsenDepartment of Immunology and Transfusion Medicine, St. Olavs University Hospital, Trondheim, Norway.
Dijanne Dicky Jannie Anne de VosDepartment of Laboratory Medicine, Blood Bank, Nordland Hospital, Bodø, Norway.
Helena Eriksson StjernDepartment of Immunology and Transfusion Medicine, Akershus University Hospital, Lørenskog, Norway.
Ingvild Hausberg SørvollDepartment of Laboratory Medicine, University Hospital of North Norway, Tromsø, Norway.
Janne Brit BaraneDepartment of Immunology and Transfusion Medicine, Stavanger University Hospital, Stavanger, Norway.
Tonje Espeland BagåsDepartment of Immunology and Transfusion Medicine, Haukeland University Hospital, Bergen, Norway.
Mona RasmussenInnlandet Hospital Trust, Lillehammer, Norway.
Norunn UlvahaugTransfusion Service, Vestfold Hospital, Tønsberg, Norway.
Vendula WamstadDepartment of Laboratory Medicine, Vestre Viken Health Trust, Drammen, Norway.
Geir TomterDepartment of Immunology and Transfusion Medicine, Oslo University Hospital, Oslo, Norway.
Cigdem Akalin AkkökDepartment of Immunology and Transfusion Medicine, Oslo University Hospital, Oslo, Norway.
Oslo University Hospital · NOAkershus University Hospital · NOHaukeland University Hospital · NOInnlandet Hospital Trust · NONordland Hospital · NOStavanger University Hospital · NOSt Olav's University Hospital · NOSykehuset i Vestfold · NOUniversity Hospital of North Norway · NOVestre Viken Hospital Trust · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTargeted routine antenatal prophylaxis with anti-D immunoglobulin (Ig) only to RhD-negative pregnant women who carry RhD-positive fetuses (determined by fetal RHD genotyping) has reduced D-alloimmunization significantly when administered in addition to postnatal prophylaxis. Achieving high analysis sensitivity and few false-negative fetal RHD results will make RhD typing of the newborn redundant. Postnatal prophylaxis can then be given based on the result of fetal RHD genotyping. Terminating routine RhD typing of the newborns in cord blood will streamline maternity care. Accordingly, we compared the results of fetal RHD genotyping with RhD typing of the newborns.

methodsFetal RHD genotyping was performed, and antenatal anti-D Ig was administered at gestational week 24 and 28, respectively. Data for 2017-2020 are reported.

resultsTen laboratories reported 18,536 fetal RHD genotypings, and 16,378 RhD typing results of newborns. We found 46 false-positive (0.28%) and seven false-negative (0.04%) results. Sensitivity of the assays was 99.93%, while specificity was 99.24%.

conclusionFew false-negative results support the good analysis quality of fetal RHD genotyping. Routine cord blood RhD typing will therefore be discontinued nationwide and postnatal anti-D Ig will now be given based on the result of fetal RHD genotyping.

Indexed as

Maternal Health ServicesRh IsoimmunizationFemaleFetal BloodFetusGenotypeHumansInfant, NewbornPregnancyPrenatal DiagnosisRh-Hr Blood-Group SystemRho(D) Immune GlobulinRh-Hr Blood-Group SystemRHO(D) antibodyRho(D) Immune GlobulinAlloimmunizationCord blood RhD typingFetal RHD genotypingNoninvasive prenatal diagnosisRed cell alloimmunizationRhesus alloimmunization

Identifiers

PMID37379821
PMCPMC10614222
OpenAlexW4382502637

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.