It was interesting to read an excellent review in the January 2004 edition of Archives devoted to the topic of blood transfusion.¹ At the same time the issues of haemolytic disease in the newborn (HDN) and alternatives to exchange transfusion (ET), were treated as follows: “A recent systematic review has shown that fewer infants require exchange transfusion for haemolytic disease of the newborn when high dose intravenous immunoglobulin is used”.² Neonatologists generally applaud the efforts made in an attempt to achieve a “bloodless” solution to the treatment of Rh and/or AB0 HDN in a newborn whose parents are Jehovah’s Witnesses.

In 1999 we published a case …