{"id":"https://openalex.org/W7223115456","doi":"https://doi.org/10.1016/j.htct.2026.106676","title":"MORTALIDADE POR DOEN\u00c7A HEMOL\u00cdTICA DO FETO E DO REC\u00c9M-NASCIDO, HIDROPISIA FETAL, KERNICTERUS E OUTRAS AFEC\u00c7\u00d5ES HEMATOL\u00d3GICAS PERINATAIS NO BRASIL (2014\u20132024)","display_name":"MORTALIDADE POR DOEN\u00c7A HEMOL\u00cdTICA DO FETO E DO REC\u00c9M-NASCIDO, HIDROPISIA FETAL, KERNICTERUS E OUTRAS AFEC\u00c7\u00d5ES HEMATOL\u00d3GICAS PERINATAIS NO BRASIL (2014\u20132024)","publication_year":2026,"publication_date":"2026-10-01","ids":{"openalex":"https://openalex.org/W7223115456","doi":"https://doi.org/10.1016/j.htct.2026.106676"},"language":"en","primary_location":{"id":"doi:10.1016/j.htct.2026.106676","doi":"https://doi.org/10.1016/j.htct.2026.106676","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.htct.2026.106676","pdf_url":null,"source":{"id":"https://openalex.org/S2898598332","display_name":"Hematology Transfusion and Cell Therapy","issn_l":"2531-1379","issn":["2531-1379","2531-1387"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-20","russia-white-list-3","scielo"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hematology, Transfusion and Cell Therapy","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.1016/j.htct.2026.106676","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5120164459","display_name":"Amanda Kaori Narimatsu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210100389","display_name":"Universidade da Regi\u00e3o de Joinville","ror":"https://ror.org/00je1p681","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210100389"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Amanda Kaori NARIMATSU","raw_affiliation_strings":["Universidade da Regi\u00e3o de Joinville (Univille) Joinville, SC, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidade da Regi\u00e3o de Joinville (Univille) Joinville, SC, Brasil","institution_ids":["https://openalex.org/I4210100389"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159211983","display_name":"Vin\u00edcius Machado DE FREITAS","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Vin\u00edcius Machado DE FREITAS","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158820117","display_name":"Beatriz Soldaini Grieco Cabral de Mello","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Beatriz Soldaini Grieco Cabral DE MELLO","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071534436","display_name":"Marlete Scremin","orcid":"https://orcid.org/0000-0003-1139-7501","observed_orcids":["https://orcid.org/0000-0003-1139-7501"]},"institutions":[{"id":"https://openalex.org/I4210100389","display_name":"Universidade da Regi\u00e3o de Joinville","ror":"https://ror.org/00je1p681","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210100389"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Marlete SCREMIN","raw_affiliation_strings":["Universidade da Regi\u00e3o de Joinville (Univille) Joinville, SC, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidade da Regi\u00e3o de Joinville (Univille) Joinville, SC, Brasil","institution_ids":["https://openalex.org/I4210100389"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159176024","display_name":"Luana Gabrielly de Almeida CAMPOS","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210100389","display_name":"Universidade da Regi\u00e3o de Joinville","ror":"https://ror.org/00je1p681","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210100389"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Luana Gabrielly de Almeida CAMPOS","raw_affiliation_strings":["Universidade da Regi\u00e3o de Joinville (Univille) Joinville, SC, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidade da Regi\u00e3o de Joinville (Univille) Joinville, SC, Brasil","institution_ids":["https://openalex.org/I4210100389"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158796258","display_name":"Victoria Let\u00edcia Bernardo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210100389","display_name":"Universidade da Regi\u00e3o de Joinville","ror":"https://ror.org/00je1p681","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210100389"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Victoria Let\u00edcia BERNARDO","raw_affiliation_strings":["Universidade da Regi\u00e3o de Joinville (Univille) Joinville, SC, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidade da Regi\u00e3o de Joinville (Univille) Joinville, SC, Brasil","institution_ids":["https://openalex.org/I4210100389"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158822540","display_name":"Bryan Gustacki","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210100389","display_name":"Universidade da Regi\u00e3o de Joinville","ror":"https://ror.org/00je1p681","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210100389"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Bryan GUSTACKI","raw_affiliation_strings":["Universidade da Regi\u00e3o de Joinville (Univille) Joinville, SC, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidade da Regi\u00e3o de Joinville (Univille) Joinville, SC, Brasil","institution_ids":["https://openalex.org/I4210100389"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5135644157","display_name":"Let\u00edcia Marques Bigliazzi","orcid":"https://orcid.org/0009-0000-6006-256X","observed_orcids":["https://orcid.org/0009-0000-6006-256X"]},"institutions":[{"id":"https://openalex.org/I4210100389","display_name":"Universidade da Regi\u00e3o de Joinville","ror":"https://ror.org/00je1p681","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210100389"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Let\u00edcia Marques BIGLIAZZI","raw_affiliation_strings":["Universidade da Regi\u00e3o de Joinville (Univille) Joinville, SC, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidade da Regi\u00e3o de Joinville (Univille) Joinville, SC, Brasil","institution_ids":["https://openalex.org/I4210100389"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5099985692","display_name":"Mayra Emi Guinoza Inushi","orcid":"https://orcid.org/0009-0005-1283-0516","observed_orcids":["https://orcid.org/0009-0005-1283-0516"]},"institutions":[{"id":"https://openalex.org/I4210100389","display_name":"Universidade da Regi\u00e3o de Joinville","ror":"https://ror.org/00je1p681","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210100389"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Mayra Emi Guinoza INUSHI","raw_affiliation_strings":["Universidade da Regi\u00e3o de Joinville (Univille) Joinville, SC, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidade da Regi\u00e3o de Joinville (Univille) Joinville, SC, Brasil","institution_ids":["https://openalex.org/I4210100389"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5159217246","display_name":"D\u00e9bora Moreira DE CAMPOS","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210100389","display_name":"Universidade da Regi\u00e3o de Joinville","ror":"https://ror.org/00je1p681","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210100389"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"D\u00e9bora Moreira DE CAMPOS","raw_affiliation_strings":["Universidade da Regi\u00e3o de Joinville (Univille) Joinville, SC, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidade da Regi\u00e3o de Joinville (Univille) Joinville, SC, Brasil","institution_ids":["https://openalex.org/I4210100389"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":0,"currency":"USD","value_usd":0},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.7872153,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"48","issue":null,"first_page":"106676","last_page":"106676"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11660","display_name":"Blood groups and transfusion","score":0.34790000319480896,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11660","display_name":"Blood groups and transfusion","score":0.34790000319480896,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12741","display_name":"Maternal and Neonatal Healthcare","score":0.32010000944137573,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12068","display_name":"Neonatal Health and Biochemistry","score":0.2897999882698059,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hydrops-fetalis","display_name":"hydrops fetalis","score":0.8790000081062317},{"id":"https://openalex.org/keywords/kernicterus","display_name":"kernicterus","score":0.9769999980926514},{"id":"https://openalex.org/keywords/perinatal-mortality","display_name":"perinatal mortality","score":0.7689999938011169},{"id":"https://openalex.org/keywords/neonatal-mortality","display_name":"neonatal mortality","score":0.6589999794960022},{"id":"https://openalex.org/keywords/temporal-trends","display_name":"temporal trends","score":0.7699999809265137},{"id":"https://openalex.org/keywords/regional-distribution","display_name":"regional distribution","score":0.652999997138977},{"id":"https://openalex.org/keywords/brazil","display_name":"Brazil","score":0.3580000102519989},{"id":"https://openalex.org/keywords/neonatal-morbidity","display_name":"neonatal morbidity","score":0.5649999976158142},{"id":"https://openalex.org/keywords/prenatal-screening","display_name":"prenatal screening","score":0.5130000114440918},{"id":"https://openalex.org/keywords/access-to-specialized-care","display_name":"access to specialist care","score":0.718999981880188},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.3919999897480011},{"id":"https://openalex.org/keywords/maternal-education","display_name":"maternal education","score":0.30799999833106995}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8342999815940857},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.42340001463890076},{"id":"https://openalex.org/C2778083895","wikidata":"https://www.wikidata.org/wiki/Q861845","display_name":"Kernicterus","level":3,"score":0.36059999465942383},{"id":"https://openalex.org/C159047783","wikidata":"https://www.wikidata.org/wiki/Q7215","display_name":"Virology","level":1,"score":0.23980000615119934},{"id":"https://openalex.org/C153911025","wikidata":"https://www.wikidata.org/wiki/Q7202","display_name":"Molecular biology","level":1,"score":0.19040000438690186},{"id":"https://openalex.org/C172680121","wikidata":"https://www.wikidata.org/wiki/Q26513","display_name":"Fetus","level":3,"score":0.16140000522136688},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.15719999372959137},{"id":"https://openalex.org/C2778258057","wikidata":"https://www.wikidata.org/wiki/Q1136569","display_name":"Prenatal diagnosis","level":4,"score":0.15029999613761902},{"id":"https://openalex.org/C2985213535","wikidata":"https://www.wikidata.org/wiki/Q1626599","display_name":"Reference values","level":2,"score":0.14869999885559082},{"id":"https://openalex.org/C2776317666","wikidata":"https://www.wikidata.org/wiki/Q2496436","display_name":"Fetal hemoglobin","level":4,"score":0.14399999380111694}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1016/j.htct.2026.106676","doi":"https://doi.org/10.1016/j.htct.2026.106676","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.htct.2026.106676","pdf_url":null,"source":{"id":"https://openalex.org/S2898598332","display_name":"Hematology Transfusion and Cell Therapy","issn_l":"2531-1379","issn":["2531-1379","2531-1387"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-20","russia-white-list-3","scielo"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hematology, Transfusion and Cell Therapy","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:73c516d624a64a44aba28801f3aa2288","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/73c516d624a64a44aba28801f3aa2288","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Hematology, Transfusion and Cell Therapy, Vol 48, Iss , Pp 106676- (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.htct.2026.106676","doi":"https://doi.org/10.1016/j.htct.2026.106676","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.htct.2026.106676","pdf_url":null,"source":{"id":"https://openalex.org/S2898598332","display_name":"Hematology Transfusion and Cell Therapy","issn_l":"2531-1379","issn":["2531-1379","2531-1387"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-20","russia-white-list-3","scielo"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hematology, Transfusion and Cell Therapy","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3211085599","https://openalex.org/W4403554587","https://openalex.org/W4403554325","https://openalex.org/W4403554926","https://openalex.org/W4413427148","https://openalex.org/W7172025127","https://openalex.org/W3208992221","https://openalex.org/W7223567604","https://openalex.org/W7223552456","https://openalex.org/W4415669272"],"abstract_inverted_index":{"Introdu\u00e7\u00e3o":[0],"As":[1,143,204],"doen\u00e7as":[2],"hematol\u00f3gicas":[3],"perinatais,":[4],"incluindo":[5],"a":[6,55,62,165,202,223,267,287,337,358,397,451],"doen\u00e7a":[7],"hemol\u00edtica":[8],"do":[9,12,78,99,107,188,444],"feto":[10],"e":[11,18,37,46,61,72,76,85,88,106,132,141,151,170,210,235,248,265,272,304,328,339,365,402,418,436,446,460,477],"rec\u00e9m-nascido":[13],"(DHRN),":[14],"hidropisia":[15,69],"fetal,":[16,70],"kernicterus":[17,71],"outros":[19,73],"transtornos":[20,74],"hematol\u00f3gicos,":[21],"permanecem":[22],"relevantes":[23],"causas":[24],"de":[25,93,101,109,121,123,162,173,175,191,193,239,299,316,322,344,367,386,394,409,414,439,453,456,473,475,478],"morbimortalidade":[26],"neonatal.":[27],"Apesar":[28],"dos":[29,255,301,404],"avan\u00e7os":[30],"na":[31,38,400],"imunoprofilaxia":[32,263,383],"anti-D,":[33,384],"no":[34,42,81,116,137,184,245,274,318,326,335,362,411,434],"rastreamento":[35],"pr\u00e9-natal":[36,271],"assist\u00eancia":[39,270,461],"neonatal,":[40],"desigualdades":[41,429],"acesso":[43,336],"ao":[44],"diagn\u00f3stico":[45,338,458],"tratamento":[47],"especializado":[48],"podem":[49],"impactar":[50],"os":[51],"desfechos.":[52],"Objetivo":[53],"Analisar":[54],"tend\u00eancia":[56,156,215,421],"temporal,":[57,95],"o":[58,171],"perfil":[59],"epidemiol\u00f3gico":[60],"distribui\u00e7\u00e3o":[63],"regional":[64],"da":[65,134,262,269,282,291,382],"mortalidade":[66,284],"por":[67,147,153,160,314],"DHRN,":[68],"hematol\u00f3gicos":[75],"an\u00eamicos":[77],"per\u00edodo":[79],"perinatal":[80],"Brasil,":[82],"entre":[83,139,208,312,416],"2014":[84,140,196,417],"2024.":[86,142],"Material":[87],"M\u00e9todos":[89],"Estudo":[90],"ecol\u00f3gico,":[91],"retrospectivo,":[92],"s\u00e9rie":[94],"com":[96,259,266,295,332,351,431],"dados":[97],"secund\u00e1rios":[98],"Sistema":[100,108],"Informa\u00e7\u00f5es":[102,110],"sobre":[103,111],"Mortalidade":[104],"(SIM)":[105],"Nascidos":[112],"Vivos":[113],"(SINASC),":[114],"dispon\u00edveis":[115],"DATASUS.":[117],"Foram":[118,180],"analisados":[119],"\u00f3bitos":[120,183,256,415],"menores":[122],"um":[124],"ano":[125],"classificados":[126],"pelos":[127],"c\u00f3digos":[128],"P55,":[129],"P56,":[130],"P57":[131],"P61":[133],"CID-10,":[135],"ocorridos":[136],"Brasil":[138],"taxas":[144,205,323,425,432],"foram":[145],"calculadas":[146],"100.000":[148],"nascidos":[149,212],"vivos":[150],"estratificadas":[152],"macrorregi\u00e3o.":[154],"A":[155,226,252,320],"temporal":[157,216,422],"foi":[158,229],"avaliada":[159],"regress\u00e3o":[161],"Prais-Winsten,":[163],"estimando-se":[164],"varia\u00e7\u00e3o":[166],"percentual":[167],"anual":[168],"(APC)":[169],"intervalo":[172],"confian\u00e7a":[174],"95%":[176,220],"(95%":[177],"IC).":[178],"Resultados":[179],"registrados":[181],"2.068":[182],"per\u00edodo.":[185,275],"Observou-se":[186],"redu\u00e7\u00e3o":[187,253,408],"n\u00famero":[189,412],"absoluto":[190,413],"\u00f3bitos,":[192],"230":[194],"em":[195,199,297,307],"para":[197,481],"145":[198],"2024,":[200,419],"correspondendo":[201],"37,0%.":[203],"nacionais":[206],"oscilaram":[207],"5,58":[209],"7,72/100.000":[211],"vivos,":[213],"sem":[214,420],"significativa":[217,423],"(APC:":[218],"-0,47%;":[219],"IC:":[221],"-2,42%":[222],"1,52%;":[224],"p=0,604).":[225],"taxa":[227],"m\u00e9dia":[228],"maior":[230,260],"nas":[231,424,465],"regi\u00f5es":[232,466],"Norte":[233,327,435],"(9,89/100.000)":[234],"Nordeste":[236,329,437],"(8,57/100.000),":[237],"cerca":[238,366,438],"duas":[240,440],"vezes":[241,441],"superior":[242],"\u00e0s":[243,443],"observadas":[244],"Sul":[246,445],"(4,61/100.000)":[247],"Sudeste":[249],"(5,52/100.000).":[250],"Discuss\u00e3o":[251],"absoluta":[254],"\u00e9":[257,330],"compat\u00edvel":[258,331],"efetividade":[261],"anti-D":[264],"qualifica\u00e7\u00e3o":[268],"neonatal":[273,285,462],"Revis\u00e3o":[276],"sistem\u00e1tica":[277],"recente":[278,347],"mostra":[279,348],"que,":[280],"apesar":[281],"baixa":[283],"atual,":[286],"carga":[288],"cl\u00ednica":[289,389],"p\u00f3s-natal":[290],"DHRN":[292],"permanece":[293],"alta,":[294],"exsanguineotransfus\u00e3o":[296],"mediana":[298],"27%":[300],"casos":[302],"Rh(D)":[303],"transfus\u00e3o":[305],"simples":[306],"at\u00e9":[308,352],"60%,":[309],"refletindo":[310],"variabilidade":[311],"centros":[313,359],"falta":[315],"consenso":[317],"manejo.":[319],"persist\u00eancia":[321],"mais":[324,467],"elevadas":[325],"disparidades":[333],"estruturais":[334],"servi\u00e7os":[340],"especializados.":[341],"Uma":[342],"revis\u00e3o":[343],"escopo":[345],"latino-americana":[346],"padr\u00e3o":[349],"semelhante,":[350],"47%":[353],"das":[354],"gestantes":[355],"aloimunizadas":[356],"referenciadas":[357],"especializados":[360],"apenas":[361],"terceiro":[363],"trimestre":[364],"60%":[368],"recebendo":[369],"profilaxia":[370],"anti-D.":[371],"Limita\u00e7\u00f5es":[372],"O":[373],"SIM/SINASC":[374],"n\u00e3o":[375],"permite":[376],"avaliar":[377],"individualmente":[378],"tipagem":[379],"materna,":[380],"cobertura":[381],"hist\u00f3rico":[385],"aloimuniza\u00e7\u00e3o,":[387],"gravidade":[388],"ou":[390],"interven\u00e7\u00f5es":[391],"terap\u00eauticas,":[392],"al\u00e9m":[393],"estar":[395],"sujeito":[396],"diferen\u00e7as":[398],"regionais":[399],"qualidade":[401],"completude":[403],"registros.":[405],"Conclus\u00e3o":[406],"Houve":[407],"37,0%":[410],"nacionais.":[426],"Persistiram":[427],"importantes":[428],"regionais,":[430],"m\u00e9dias":[433],"superiores":[442],"Sudeste.":[447],"Os":[448,469],"achados":[449],"refor\u00e7am":[450],"necessidade":[452],"fortalecer":[454],"estrat\u00e9gias":[455],"preven\u00e7\u00e3o,":[457],"precoce":[459],"especializada,":[463],"especialmente":[464],"vulner\u00e1veis.":[468],"autores":[470],"declaram":[471],"aus\u00eancia":[472],"conflitos":[474],"interesse":[476],"financiamento":[479],"externo":[480],"este":[482],"trabalho.":[483]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-22T00:00:00"}
