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The following handle holds various files of this Leiden University dissertation:

http://hdl.handle.net/1887/68703

Author: Zwiers, C.

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HEMOLYTIC DISEASE OF THE FETUS

AND NEWBORN

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Cover illustration Carole Matthijsse Illustration Intrauterine transfusion illustration Gautier Illustration

Layout Ilse Stronks, persoonlijkproefschrift.nl Printing Ridderprint BV | www.ridderprint.nl The research described in this thesis was funded by Sanquin Blood Supply. This financial support did not interfere with the conduct of results of the studies.

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HEMOLYTIC DISEASE OF THE FETUS

AND NEWBORN

Proefschrift

ter verkrijging van

de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus prof. mr. C.J.J.M. Stolker,

volgens besluit van het College voor Promoties te verdedigen op dinsdag 12 maart 2019

klokke 16.15 uur door

Carolien Zwiers

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Copromotor: Dr. I.L. van Kamp

Leden promotiecommissie: Prof. dr. J.J. Zwaginga

Prof. dr. E. Pajkrt, Amsterdam University

Medical Center

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TABLE OF CONTENTS

PART 1: OVERVIEW

General Introduction 7

Chapter 1 Intrauterine transfusion and non-invasive treatment options for hemolytic disease of the fetus and newborn - review on current management and outcome

17

PART 2: PATHOGENESIS AND SEVERITY OF HEMOLYTIC DISEASE OF THE FETUS AND NEWBORN

Chapter 2 ABO incompatibility and RhIg immunoprophylaxis protect against non-D alloimmunization by pregnancy

31

Chapter 3 Does disease severity always increase in subsequent pregnancies with D immunization?

53

Chapter 4 The near disappearance of fetal hydrops in relation to current state-of-the-art management of red cell alloimmunization

75

PART 3: INTRAUTERINE TRANSFUSION AND OTHER TREATMENT OPTIONS

Chapter 5 Complications of intrauterine intravascular blood transfusion: lessons learned after 1678 procedures

91

Chapter 6 Postponing Early intrauterine Transfusion with Intravenous immunoglobulin Treatment; the PETIT study on severe hemolytic disease of the fetus and newborn

105

Chapter 7 Immunoglobulin for alloimmune hemolytic disease in neonates – a Cochrane review

125

PART 4: SUMMARY AND DISCUSSION

Summary and General Discussion 163

Epilogue 170

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List of abbreviations 184

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