Table 3.
Studies of the effectiveness of anti-D prophylaxis for prevention of postnatal sensitization in Rhesus negative women
Study | Design | Population receiving anti-D prophylaxis | Dose | Outcome | Sensitizations/total | Log-odds-ratio | Variance of log-odds-ratio | |
---|---|---|---|---|---|---|---|---|
Treated | Control | |||||||
Bowman et al. (1978) | Non-randomized, historical controls | Unsensitized pregnant Rhesus negative women | 1500 IUs at 28 and 34 weeks | Sensitization during pregnancy or within 3 days of delivery | 0/1357 | 62/3533 | −3.89 | 2.02 |
Hermann et al. (1984) | Non-randomized, historical controls | Unsensitized pregnant Rhesus negative women | 1250 IUs at 32–34 weeks | Sensitization at 8 months postpartum | 2/529 | 10/645 | −1.42 | 0.60 |
Huchet et al. (1987) | Quasi-randomized study (allocation based on year of birth) | Pregnant Rhesus negative primiparae† | 500 IUs at 28 and 34 weeks | Sensitization at 2–12 months postpartum | 1/472 | 7/468 | −1.97 | 1.15 |
Lee and Rawlinson (1995) | Randomized trial | Rhesus negative primigravidae‡ | 250 IUs at 28 and 34 weeks | Sensitization at 6 months postpartum | 3/361 | 6/405 | −0.58 | 0.51 |
MacKenzie et al. (1999) | Non-randomized, contemporary controls | Rhesus negative unsensitized primiparae† | 500 IUs at 28 and 34 weeks | Sensitization in a subsequent pregnancy | 12/3320 | 26/3146 | −0.83 | 0.12 |
Mayne et al. (1997) | Non-randomized, historical controls | Rhesus negative primigravidae‡ | 500 IUs at 28 and 34 weeks | Sensitization in a subsequent pregnancy | 4/1425 | 16/1426 | −1.39 | 0.31 |
Tovey et al. (1983) | Non-randomized, historical controls | Rhesus negative primigravidae† | 500 IUs at 28 and 34 weeks | Sensitization in a subsequent pregnancy | 2/325 | 22/582 | −1.85 | 0.55 |
Trolle (1989) | Non-randomized, historical controls | Unsensitized pregnant Rhesus negative women | 1500 IUs at 28 weeks | Sensitization at 10 months postpartum | 0/291 | 6/322 | −2.48 | 2.16 |
Primipara: a woman who has given birth for the first time to an infant or infants, alive or stillborn (after 20 weeks’ gestation).
Primigravida: a woman who is pregnant for the first time.