Discussion

Abstract

M.S. Harvey (Leiden, NL): When children are born only a fraction of them have to have exchange or top up transfusion. But the children are still full of maternal antibody, IgG antibodies outside the blood circulation. So the children go back to another hospital somewhere in the Netherlands and then they are seen as beautiful healthy children. But within six weeks they are anaemic and of course haemolysing there own fresh antigen positive cells. The communication between the obstetricians, the neonatologists and then the neonatologists in the receiving hospital outside our referral hospital is critical. We are phoned up in the laboratory more or less once every two months, by hospitals, somewhere else in the Netherlands, without appropriate information on transfusion history of the child. Something goes wrong in the communication chain.

Moderators: C. Dame, A. Brand