Haemolytic disease of the fetus and newborn diagnosed after delivery of a baby to a mother with low anti-E antibody titres. Issue 9 (8th September 2019)

• Record Type: Journal Article
• Authors: Lee, Tara T'Shieh Maey; Clarke, Paul; Prosser-Snelling, Edward
• Is Part Of: BMJ case reports. Volume 12:Issue 9(2019)
• Publication Date: 2019-09-08
• Subjects: haematology (incl blood transfusion) -- pregnancy -- materno-fetal medicine; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2019-229816
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : The authors report a term male neonate who was born in unexpectedly poor condition with low Apgar scores and low venous cord gas pH. He required admission to the neonatal unit and was found to have developed haemolytic anaemia with associated hydrops, following a presumed severe antenatal insult. Antenatally, low levels of anti-E antibodies (titre 8) had been detected at 28 weeks' gestation. Following the British Society for Haematology and local neonatal team guidance, advice was given for cord direct antiglobulin test, full blood count and bilirubin at delivery. This case highlights the rare case of haemolytic disease of the fetus and newborn on a background of maternal low titre anti-E antibodies.