TITLE:
Management of the Prevention of the Rhesus Alloimmunization: Case of the Mother-Child Hospital Dominique Ouattara of Bingerville/Ivory Coast/West Africa
AUTHORS:
Ana Touré Ecra, Luc Olou, Perel Konan
KEYWORDS:
Red Cell Alloimmunization, Prophylaxy, Pregnancy, Côte d’Ivoire
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.11,
November
7,
2023
ABSTRACT: 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.