PMID- 2728393 OWN - NLM STAT- MEDLINE DCOM- 19890706 LR - 20220317 IS - 0042-9007 (Print) IS - 0042-9007 (Linking) VI - 56 IP - 3 DP - 1989 TI - Prevention of recurrent spontaneous abortion by intravenous immunoglobulin. PG - 151-4 AB - Intravenous immunoglobulin (IVIG) treatment was attempted as a novel therapeutic approach for unexplained recurrent spontaneous abortions (RSA) occurring in the first trimester of pregnancy. Twenty women with a history of RSA were treated with IVIG during pregnancy. Therapy was commenced at week 5 of gestation with 1 dose of 0.5-0.6 g IVIG/kg body weight. Infusions were repeated every 3 weeks (0.3-0.4 g/kg) and terminated by week 22 to 24. Of 20 women, 11 delivered healthy infants at term. 5 women are still pregnant, 3 in the third trimester. Only 3 patients suffered abortions and 1 presented with ectopic pregnancy. The overall success rate was 82-86%. Thus, the therapeutic effect of IVIG is comparable to that of the conventional transfusion/vaccination regimen with allogeneic leukocytes, but avoids the risk of transmission of infections and/or HLA immunization, has no major adverse effects and is applicable to 'nonresponders'. FAU - Mueller-Eckhardt, G AU - Mueller-Eckhardt G AD - Institute for Clinical Immunology and Transfusion Medicine, Justus Liebig University, Giessen, FRG. FAU - Heine, O AU - Heine O FAU - Neppert, J AU - Neppert J FAU - Kunzel, W AU - Kunzel W FAU - Mueller-Eckhardt, C AU - Mueller-Eckhardt C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Vox Sang JT - Vox sanguinis JID - 0413606 RN - 0 (Immunoglobulins) SB - IM MH - Abortion, Habitual/*prevention & control MH - Adult MH - Female MH - Humans MH - *Immunization, Passive MH - Immunoglobulins/*administration & dosage MH - Injections, Intravenous MH - Pregnancy MH - Pregnancy Outcome EDAT- 1989/01/01 00:00 MHDA- 1989/01/01 00:01 CRDT- 1989/01/01 00:00 PHST- 1989/01/01 00:00 [pubmed] PHST- 1989/01/01 00:01 [medline] PHST- 1989/01/01 00:00 [entrez] AID - 10.1111/j.1423-0410.1989.tb02018.x [doi] PST - ppublish SO - Vox Sang. 1989;56(3):151-4. doi: 10.1111/j.1423-0410.1989.tb02018.x.