http://adc.bmjjournals.com/cgi/content/full/89/11/1076
L Lakatos
Kenezy County Hospital, Debrecen, Hungary; lakatosl@kenezykorhaz.hu
It was interesting to read an excellent review in the January
2004 edition of
Archives devoted to the topic of blood transfusion.
1 At the same time the issues of haemolytic disease in the newborn
(HDN) and alternatives to exchange transfusion (ET), were treated
as follows: "A recent systematic review has shown that fewer
infants require exchange transfusion for haemolytic disease
of the newborn when high dose intravenous immunoglobulin is
used".
2 Neonatologists generally applaud the efforts made in
an attempt to achieve a "bloodless" solution to the treatment
of Rh and/or AB0 HDN in a newborn whose parents are Jehovah’s
Witnesses.
In 1999 we published a case of an AB0 incompatible term infant
girl born to parents who were Jehovah’s Witnesses.
3 The
infant was admitted to our neonatal unit with a high serum bilirubin
level necessitating ET. The parents signed a request that blood
should not be administered under any circumstances. However, (Continued free article see this link:
http://adc.bmjjournals.com/cgi/content/full/89/11/1076)
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