%0 Journal Article
%T Management of the Prevention of the Rhesus Alloimmunization: Case of the Mother-Child Hospital Dominique Ouattara of Bingerville/Ivory Coast/West Africa
%A Ana Tour¨¦ Ecra
%A Luc Olou
%A Perel Konan
%J Open Journal of Obstetrics and Gynecology
%P 1771-1782
%@ 2160-8806
%D 2023
%I Scientific Research Publishing
%R 10.4236/ojog.2023.1311150
%X Introduction: Perinatal mortality linked to fetal anemia of red cell alloimmunization
in Côte d¡¯Ivoire as in many developing countries can be explained by a lack of knowledge
of Rhesus D feto-maternal alloimmunization, hence the obvious importance of carrying out a
study on the problem of prevention of alloimmunization
in rhesus negative births. This study takes stock of the management of this pathology
in a reference hospital. Results and Discussion: Rh-negative mothers
account for 6% of births, 42.7% (70/164) of women had a history of risk, about 61%
of women had not had proper prophylaxis during previous pregnancies; and as many had not had follow-up of the coombs test during the
current pregnancy; only 4.9% of patients had systematic prophylaxis with
anti D serum at 28 weeks of pregnancy. This low rate of prevention is related
to the financial difficulties of the patients, but also to a lack of knowledge of
the pathology by the nursing staff. Conclusion: Good management of rhesus
negative women during their pregnancy allows their incompatible
child to benefit from all current treatments ensuring a healthy birth. It is therefore
important for medical personnel to know how to deal with this rare disease in a
small proportion of pregnant women.
%K Red Cell Alloimmunization
%K Prophylaxy
%K Pregnancy
%K C&
%K #244
%K te d¡¯Ivoire
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=128899