SciELO - Scientific Electronic Library Online

vol.32 issue11Hepatitis A seroprevalence in public school children in Campos dos Goytacazes, Rio de Janeiro State, Brazil, prior to the introduction of the hepatitis A universal childhood vaccinationAmostraBrasil: an R package for household sampling in Brazilian municipalities author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Cadernos de Saúde Pública

On-line version ISSN 1678-4464


BESERRA, Ana Heloisa Nascimento; ARTMANN, Elizabeth  and  SANTOS, Maria Cristina Pessoa dos. RhD alloimmunization in pregnant women in Rio de Janeiro State, Brazil: perspectives and challenges. Cad. Saúde Pública [online]. 2016, vol.32, n.11, e00005516.  Epub Dec 08, 2016. ISSN 1678-4464.

This study shows research results on the persistence of RhD alloimmunization in pregnant women seen in the public healthcare network in Rio de Janeiro State, Brazil, through patient file analysis and interviews with administrators, health professionals, and patients. We analyzed 289 patient files of RhD-negative pregnant women seen from 2004 to 2012 at the State Reference Center. Individual interviews were held with 15 individuals. The interviews revealed factors contributing to persistence of the problem, such as: loss of restructuring of the Program for the Prevention of RhD Alloimmunization (PPARhD); lack of a system for monitoring the Program; low linkage between the referral and counter-referral network during prenatal care; insufficient training of the health professionals treating pregnant women at risk; and insufficient visibility of the program for RhD alloimmunization prevention. These critical points highlight the need for the State Health Department to reinforce prioritization of the program for alloimmunization prevention and invest in referral and counter-referral in the healthcare network. The study showed that the problem has multiple causes and requires interdisciplinary and complex measures related to comprehensive prenatal care.

Keywords : Rh Isoimmunization; Pregnant Women; Women's Health; Health Planning.

        · abstract in Portuguese | Spanish     · text in Portuguese     · Portuguese ( pdf )