The prenatal intervention of pregnancy complicated with anti-Kell isoimmunization: a review

J Matern Fetal Neonatal Med. 2021 Sep;34(17):2893-2899. doi: 10.1080/14767058.2019.1671330. Epub 2019 Oct 1.

Abstract

Since the first case of the hemolytic disease of the fetus and newborn (HDFN) caused by anti-K was reported in 1946, the fetal diagnosis of K-HDFN has made rapid progress from invasive immunological and biochemical tests to noninvasive Doppler ultrasound and molecular biology techniques. However, its treatment, especially prenatal intervention, has developed slowly compared with RhD-HDFN. This review attempts to clarify the current key points and explore the direction of the next phase by systematically reviewing the development of diagnosis and treatment of this disease, which involving multidisciplinary participation.

Keywords: Fetal genotyping; Kell blood group; hemolytic disease of newborn; intrauterine transfusion; prenatal diagnosis.

Publication types

  • Review

MeSH terms

  • Erythroblastosis, Fetal* / diagnosis
  • Erythroblastosis, Fetal* / therapy
  • Female
  • Fetus
  • Humans
  • Infant, Newborn
  • Pregnancy
  • Prenatal Diagnosis
  • Ultrasonography