Table 3.
Summary of five fetal anemia case reports and their therapeutic interventions due to anti-M alloimmunization.
| No | author | year | country | Interventions | average gestational age at diagnosis | average GA at first intervention | Delivery | outcomes |
|---|---|---|---|---|---|---|---|---|
| 1 | Furukawa et al. [12] | 1993 | Japan | plasmapheresis 6 times on a biweekly program | – | 12 weeks of gestation | – | Intrauterine death |
| 2 | Furukawa et al. [12] | 1993 | Japan | plasmapheresis therapy, 56 Liter | – | 2 months of gestation | Normal delivery with induction, 35 weeks | Alive, initiated phototherapy, normal developing |
| 3 | Seo et al. [13] | 2007 | South Korea | Fetal intravascular transfusions, 2 times | 32 weeks+2 days | 32 weeks+2 days | Normal delivery with induction, 35 weeks | Alive, initiated phototherapy, and one time transfusion for newborn |
| 4 | Bajpayee et al. [14] | 2014 | India | Intrauterine transfusion, 3 times | 20 weeks | 28 weeks | C-section | Alive, mild jaundice at birth receiving phototherapy for newborn, normal developmental and hematological follow-up after 12 months |
| 5 | Li et al. [9] | 2017 | China | Intrauterine transfusions, 5 times | 22 weeks+5 days | 22 weeks+6 days | elective cesarean section, 36 weeks | Alive, two blood transfusion for the neonate after birth, normal developmental follow-up until 6 months |
| 6 | Hubinont et al. [16] | 2017 | Belgium | plasma exchange twice a week and daily low molecular weight heparin injection, 1 Intrauterine transfusions | – | – | – | Intrauterine death at 20 weeks |
| 7 | Hubinont et al. [16] | 2017 | Belgium | Plasmapheresis at 7 weeks and twice a week and changed to 3/week after 12 weeks, | – | 7 weeks+5 days | Cesarean, 32 weeks+6 days | Alive, Phototherapy was initiated, discharged after 3 weeks |
| 8 | Maki et al. [15] | 2020 | Japan | Intraperitoneal transfusion due to unsuitable position of umbilical cord for intrauterine transfusion | 19 weeks | 24 weeks | – | Fetal death |
| 9 | Maki et al. [15] | 2020 | Japan | Plasma Exchange, 25 times; intrauterine transfusion, 1 time | 13 weeks | 14 weeks | Normal delivery, 31 weeks | Alive, 11 days phototherapy and five transfusion for neonate, discharge at day 46 without abnormal neurological findings |