Bethany and Molly interview Dr. Timothy Bahr, a neonatologist with a specialty in neonatal hematology about all of your HDFN questions for newborns. Dr. Bahr patiently answers many of the common challenges and questions in neonatal HDFN care. This is an advanced discussion of neonatal HDFN. For a primer describing disease presentation, visit our neonatal episode in Season 1.
Questions answered in this episode:
What is this research you’re doing on measuring hemolysis in a fetus from the mother’s breath?
Can you still have delayed cord clamping in alloimmunized pregnancies?
Can I hold my baby for a few minutes before they are taken to the NICU?
Why are HDFN babies offered iron so often?
How quickly does a baby’s bilirubin level improve (go down) after an exchange transfusion?
What is your opinion on using IVIG on the neonate for HDFN, and when would you do it?
Publications mentioned in this episode:
Delayed cord clamping in alloimmunization: https://www.sciencedirect.com/science/article/abs/pii/S2589933323003075
Iron overload in HDFN: https://scholarlypublications.universiteitleiden.nl/access/item%3A2881417/download#page=194
Systematic review on IVIG in the neonate for HDFN: https://fn.bmj.com/content/99/4/F325.short
Leiberman et al on IVIG in the neonate for HDFN: https://onlinelibrary.wiley.com/doi/pdf/10.1111/bjh.18170
Darbepoetin to reduce the need for neonatal transfusion: https://cdn.clinicaltrials.gov/large-docs/26/NCT03104426/Prot_000.pdf
Publications by Dr. Tim Bahr: https://pubmed.ncbi.nlm.nih.gov/?term=Bahr_TM
Publications by Tim’s mentor, Dr. Robert (Bob) Christensen: https://pubmed.ncbi.nlm.nih.gov/?term=Christensen_RD
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