Cochrane · systematic review · CD000020

Anti‐D administration in pregnancy for preventing Rhesus alloimmunisation

McBain, RD, Crowther, CA, Middleton, P · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 2 · 28.6%Very low 1 · 14.3%Low 4 · 57.1%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Anti‐D administration in pregnancy compared with no treatment for pregnancy for preventing Rhesus alloimmunisation

Population: Rh‐negative women without anti‐D antibodies
7 questions
OutcomeEffectEvidenceStatus / GRADE
Incidence of Rhesus D alloimmunisation during pregnancy
Anti‐D administration in pregnancy vs no treatment
RR 0.42 [0.15, 1.17]2 studies · 3902 participantsLow
Incidence of Rhesus D alloimmunisation postpartum (at birth of Rh‐positive infant and at
Anti‐D administration in pregnancy vs no treatment
RR 0.39 [0.1, 1.62]2 studies · 2048 participantsLow
Incidence of Rhesus D alloimmunisation in a subsequent pregnancy
Anti‐D administration in pregnancy vs no treatment
no estimate extracted0 studies · 0 participantsUngraded
Incidence of positive Kleihauer test (at 32 to 35 weeks' gestation)
Anti‐D administration in pregnancy vs no treatment
RR 0.6 [0.41, 0.88]1 study · 1884 participantsLow
Downgraded: imprecision
Incidence of positive Kleihauer test (at birth of a Rh‐positive infant)
Anti‐D administration in pregnancy vs no treatment
RR 0.6 [0.46, 0.79]1 study · 1189 participantsLow
Downgraded: imprecision
Neonatal jaundice
Anti‐D administration in pregnancy vs no treatment
RR 0.26 [0.03, 2.3]1 study · 1882 participantsVery low
Downgraded: imprecision
Adverse events attributed to anti‐D treatment
Anti‐D administration in pregnancy vs no treatment
no estimate extracted0 studies · 0 participantsUngraded