About Hemolytic Disease of the Newborn (HDN)

Hemolytic disease of the newborn (HDN) is a medical condition caused by incompatibility between the blood of an Rh-negative pregnant woman and her Rh-positive fetus. HDN develops in the fetus when the IgG antibodies produced by the mother pass through the placenta and attack the red blood cells (RBCs) in the fetal circulation. This can have serious consequences for the baby, such as:1,2

  • Anemia
  • Severe jaundice
  • Brain damage
  • Death

View the video below for further information about HDN

Rh-Sensitization

When an event allows for maternal and fetal blood to mix during a pregnancy, the Rh-negative mother's immune system will start to produce antibodies against the antigens in the fetus's Rh-positive blood. This process is called alloimmunization or Rh-Sensitization.1

If preventive measures are not taken, 14% of Rh-negative women who deliver a baby with Rh-positive blood will develop anti-D antibodies within 6 months or during their next pregnancy. Therefore, even if Rh-sensitization does not affect a woman's first child, it could create serious problems for subsequent children.2

With appropriate anti-D γ globulin prophylaxis of Rh-negative pregnant and postpartum women, nearly all Rh-negative women can be protected from developing anti-D antibodies that could lead to hemolytic disease in their Rh-positive babies.2

  1. Zipursky A, Paul V. The global burden of Rh disease. Arch Dis Child Fetal Ed. March 2011 Vol 96 No 2: F84-85.
  2. Myle AK, Al-Khattabi GH. Hemolytic Disease of the Newborn: A Review of Current Trends and Prospects. Pediatric Health Med Ther. 2021 Oct 7;12:491-498. doi: 10.2147/PHMT.S327032. PMID: 34675752; PMCID: PMC8504549.
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Important Safety Information

Rhophylac®, Rho(D) Immune Globulin Intravenous (Human), is a blood-derived injection given to women with an Rh-negative who might have an incompatible pregnancy—that is, who may be carrying an unborn child with Rh-positive blood. If a woman in such a pregnancy is not treated, the result could be “isoimmunization,” a condition in which the mother’s Rh-negative blood produces antibodies that could attack the unborn child’s Rh-positive blood cells, potentially creating serious health problems for the unborn child and any future children of the mother.

Rhophylac is given by physicians as routine protection against immunization, typically as administration during pregnancy, often with readministration within 72 hours following childbirth. It is also given in cases of obstetric complications, invasive procedures during pregnancies, incomplete pregnancies, and obstetric manipulative procedures in certain non-pregnant women. Rhophylac is also used in Rh-negative individuals who have received blood components containg Rh(D)-positive red blood cells. For suppression of Rh isoimmunization, Rhophylac can be administered intravenously or intramuscularly, but must not be given to newborn infant.

You should not receive Rhophylac if you have had a previous serious allergic reaction to Rhophylac or other human blood products. It should not be given if your blood has an insufficient quantity of a protein called IgA, has produced antibodies to IgA, or you have known hypersensititivy to IgA. Your physician will do a blood test to assess your situation regarding IgA.

Some women have experienced mild and temporary actions after receiving Rhophylac, such as fever; overall discomfort or uneasiness; headache; skin reactions (like hives or welts); and chills. If you received Rhophylac as a shot (intramuscularly), you could experience pain or tenderness at the injection site. Adverse reactions to Rhophylac typically do not last long. Discuss with your doctor any reaction or symptom you experience after administration of Rhophylac that concerns you.

Rhophylac is made from donated human blood. The risk of transmission of infections agents, including viruses, cannot be completely eliminated.

Immunoglobulin administration can transiently interfere with your response to live vaccines, such as measles, mumps and rubella. (Note that most influenza vaccines are not “live” vaccines.) Tell your doctor if you plan to receive a vaccine after receiving Rhophylac.

Please see full prescribing information for Rhophylac, which includes a boxed warning that does not apply to use of Rhophylac in pregnancy or in cases of incompatible transfusions.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

You can also report side effects to CSL Behring’s Pharmacovigilance Department at 1-866-915-6958.


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