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Ginecología y obstetricia de México
Print version ISSN 0300-9041
Abstract
DURANGO-SANCHEZ, Carolina et al. Description of a population of pregnant women with Rh (D) incompatibility. Ginecol. obstet. Méx. [online]. 2023, vol.91, n.6, pp.411-416. Epub Aug 31, 2023. ISSN 0300-9041. https://doi.org/10.24245/gom.v91i6.8504.
OBJECTIVE:
To determine the maternal and fetal outcomes in pregnant women with Rh D incompatibility.
MATERIALS AND METHODS:
A Retrospective cohort study carried out in the Maternal and Child Unit of Medellín, Colombia, in pregnant patients attended between 2013 and 2018.
RESULTS:
250 patients were included, in which the median age was 26 years. The O- blood type was the most prevalent in pregnant women with 55.2% and 49.2% of the patients had had between 2 and 3 previous pregnancies, in addition, 88% of the patients had not presented any sensitizing event during her pregnancy. 65.2% had a negative first Coombs result and the mean gestational age of the first Coombs was 28 weeks. 48% of patients received immunoglobulin G anti D at a median gestational age of 28 weeks.
CONCLUSION:
The present study confirms the clinical and sociodemographic data, however it suggests that it may be necessary to strengthen the opportunity in the early recruitment of patients for follow-up with Coombs and for the indication of prophylaxis.
Keywords : Rh Isoimmunization; Pregnancy pregnancy; Rh-Hr Blood-Group System.