Management of the Prevention of the Rhesus Alloimmunization: Case of the Mother-Child Hospital Dominique Ouattara of Bingerville/Ivory Coast/West Africa  

作　　者：Ana Touré Ecra Luc Olou Perel Konan Ana Touré Ecra;Luc Olou;Perel Konan(Department of Gynecology and Obstetrics, General Hospital of Yopougon Attié, Abidjan, Cô,te d’Ivoire;Faculty of Medicine,Félix Houphoüet-Boigny University, Cocody, Ivory Coast;Urban Community Health Center of Wassakara, Department of Gynecology and obstetrics, Abidjan, Cô,te d’Ivoire;Department of Gynecology and Obstetrics, General Hospital of Abobo Gare, Abidjan, Cô,te d’Ivoire)

机构地区：[1]Department of Gynecology and Obstetrics, General Hospital of Yopougon Attié, Abidjan, Cô,te d’Ivoire [2]Faculty of Medicine,Félix Houphoüet-Boigny University, Cocody, Ivory Coast [3]Urban Community Health Center of Wassakara, Department of Gynecology and obstetrics, Abidjan, Cô,te d’Ivoire [4]Department of Gynecology and Obstetrics, General Hospital of Abobo Gare, Abidjan, Cô,te d’Ivoire

出　　处：《Open Journal of Obstetrics and Gynecology》2023年第11期1771-1782,共12页妇产科期刊（英文）

摘　　要：Introduction: Perinatal mortality linked to fetal anemia of red cell alloimmunization in Côte d’Ivoire as in many developing countries can be explained by a lack of knowledge of Rhesus D feto-maternal alloimmunization, hence the obvious importance of carrying out a study on the problem of prevention of alloimmunization in rhesus negative births. This study takes stock of the management of this pathology in a reference hospital. Results and Discussion: Rh-negative mothers account for 6% of births, 42.7% (70/164) of women had a history of risk, about 61% of women had not had proper prophylaxis during previous pregnancies;and as many had not had follow-up of the coombs test during the current pregnancy;only 4.9% of patients had systematic prophylaxis with anti D serum at 28 weeks of pregnancy. This low rate of prevention is related to the financial difficulties of the patients, but also to a lack of knowledge of the pathology by the nursing staff. Conclusion: Good management of rhesus negative women during their pregnancy allows their incompatible child to benefit from all current treatments ensuring a healthy birth. It is therefore important for medical personnel to know how to deal with this rare disease in a small proportion of pregnant women.Introduction: Perinatal mortality linked to fetal anemia of red cell alloimmunization in Côte d’Ivoire as in many developing countries can be explained by a lack of knowledge of Rhesus D feto-maternal alloimmunization, hence the obvious importance of carrying out a study on the problem of prevention of alloimmunization in rhesus negative births. This study takes stock of the management of this pathology in a reference hospital. Results and Discussion: Rh-negative mothers account for 6% of births, 42.7% (70/164) of women had a history of risk, about 61% of women had not had proper prophylaxis during previous pregnancies;and as many had not had follow-up of the coombs test during the current pregnancy;only 4.9% of patients had systematic prophylaxis with anti D serum at 28 weeks of pregnancy. This low rate of prevention is related to the financial difficulties of the patients, but also to a lack of knowledge of the pathology by the nursing staff. Conclusion: Good management of rhesus negative women during their pregnancy allows their incompatible child to benefit from all current treatments ensuring a healthy birth. It is therefore important for medical personnel to know how to deal with this rare disease in a small proportion of pregnant women.

关 键 词：Red Cell Alloimmunization Prophylaxy PREGNANCY Côte d’Ivoire 

分 类 号：R73[医药卫生—肿瘤]