Evidence map›Paper›PMID 42604227›Full record

ArticleThe Pan African medical journal2026

Recurrent Rhesus alloimmunization with early-onset severe fetal anaemia in a low-resource setting: a case report.

Willis Okumu Ochieng, Rosa Ndiema Chemwey, Elijah Kagondu Thagana

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In one paragraph

Article in The Pan African medical journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Willis Okumu OchiengDepartment of Obstetrics and Gynaecology, University of Nairobi, Nairobi, Kenya.
Rosa Ndiema ChemweyDepartment of Obstetrics and Gynaecology, Kenyatta National Hospital, Nairobi, Kenya.
Elijah Kagondu ThaganaDepartment of Obstetrics and Gynaecology, University of Nairobi, Nairobi, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fetal anaemia due to Rhesus alloimmunization remains a significant cause of perinatal mortality and morbidity in low- and middle-income countries (LMICs), where the unaffordability of anti-D immunoglobulin compromises the care of Rhesus-negative women. We report a case of a 37-year-old multiparous RhD-negative woman who presented at 18+2 weeks of gestation with a history of recurrent fetal losses attributed to recurrent Rhesus alloimmunization. Serial fetal cerebral blood flow assessments demonstrated progressively worsening anaemia, prompting two intrauterine transfusions. Despite intervention, intrauterine fetal demise still occurred. This case highlights the aggressive course of recurrent Rhesus alloimmunization and the challenges of management in a low-resource setting.

Indexed as

AnemiaFetal DiseasesRh IsoimmunizationAdultBlood Transfusion, IntrauterineFemaleFetal DeathHumansPregnancyRecurrenceResource-Limited Settingscase reportfetal anaemiaintrauterine transfusionmiddle cerebral artery-peak systolic velocityRhesus alloimmunization

Identifiers

PMID42604227
PMCPMC13477193

What OpenQuestion holds

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Registered trials

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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.