A tale of two societies: implications of conflicting Rh-immunoglobulin guidelines

National guidance conflicts regarding the use of RhD immune globulin administration <12w. Recent Society for Maternal Fetal Medicine (SMFM) guidelines suggest liberal use of this product while other guidelines, including Society of Family Planning and the World Health Organization, propose a more...

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Bibliographic Details
Published inAJOG global reports Vol. 4; no. 3; p. 100380
Main Authors Heuser, Cara, Flink-Bochacki, Rachel, Sperling, Jeffrey, Simmons, Katharine, Salmeen, Kirsten
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.08.2024
Elsevier
Subjects
alloimmunization
isoimmunization
RhD immune globulin
RhD immune globulin
isoimmunization
alloimmunization
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Summary:National guidance conflicts regarding the use of RhD immune globulin administration <12w. Recent Society for Maternal Fetal Medicine (SMFM) guidelines suggest liberal use of this product while other guidelines, including Society of Family Planning and the World Health Organization, propose a more conservative approach. Medicine is not practiced in a vacuum, and potential harms must include not only individual but communal and public health effects. We aim to critically examine the practical implications of the new SMFM guidelines with a focus on equity and access.
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ISSN:2666-5778
2666-5778
DOI:10.1016/j.xagr.2024.100380