[Prenatal determination of fetal rhesus factor in amnionic cells using polymerase chain reaction]

Geburtshilfe Frauenheilkd. 1995 Oct;55(10):577-9. doi: 10.1055/s-2007-1023527.
[Article in German]

Abstract

In Rhesus incompatibility, prenatal RhD typing of the fetus requires intrauterine blood sampling by cordocentesis or by chorionic villus biopsy. Amniocentesis is easier to perform, and carries a lower risk of enhancement of maternal immunization. Therefore, we evaluated polymerase chain reaction (PCR) for fetal RhD typing in amniocytes which were isolated from amniotic fluid (18-40 gw) obtained by amniocentesis (n=26) or during delivery (n=27). In the clinically most important group of children from RhD-negative women (n=25) and in 28 newborns of RhD- positive mothers, we found a 100 percent agreement between the findings of PCR and the results of serologic typing. If these encouraging results are confirmed in a larger series, the method could be used for the clinical management of RhD-negative women with Rhesus incompatibility and a heterozygous RhD-positive partner.

Publication types

  • English Abstract

MeSH terms

  • Amniocentesis*
  • Amniotic Fluid / cytology*
  • Erythroblastosis, Fetal / blood
  • Erythroblastosis, Fetal / diagnosis*
  • Female
  • Gestational Age
  • Humans
  • Infant, Newborn
  • Polymerase Chain Reaction / methods*
  • Predictive Value of Tests
  • Pregnancy
  • Rh-Hr Blood-Group System / analysis*
  • Serotyping

Substances

  • Rh-Hr Blood-Group System
  • Rho(D) antigen