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Re: Antenatal Rhogham From: R. Daniel Braun (rd.braun@gmail.com) Fri Mar 24 12:26:16 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: GIN11153@aol.com: "Re: Antenatal Rhogam" Previous message: DMECNM@aol.com: "Re: GEN: Cutting Hospital costs?" In reply to: Lynn D. Montgomery, M.D.: "Re: Antenatal Rhogham" Next in thread: S Osterling M.D.: "Re: Antenatal Rhogham" Jack Bowman in Winnipeg, maker of WinRho, says repeat it at 12 weeks after the first dose and every 12 weeks til delivered. He said that very low levels of the antibody lead to "Sensibilization", a process where when you have low lwevels of the antibody, the system kicks in and leads to sensitization with exposure to the tiniest bit of antigen. Dan On 3/24/06, Lynn D. Montgomery, M.D. <apgar10@montanadsl.net> wrote: > > I agree completely Joe. > Lynn > > ------------------------------ > *From:* ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] *On Behalf Of * > ------------------------------ > doctorjoe@aol.com > ------------------------------ > *Sent:* Friday, March 24, 2006 9:30 AM > > *To:* Multiple recipients of list OB-GYN-L > *Subject:* Re: Antenatal Rhogham > > Interesting problem and one cannot be unsympathetic. > > Still, the risk of sensitization with this pregnancy, and then with > possible effects on subsequent gestations, fairly mandates some action. > > The least expensive course might be to obtain the indirect Coombs first > and detect any residual antibodies, which, if present, would indicate > ongoing levels of RhoGam "protection". This would obviate the need for > redosing before delivery, which would at least save the cost of the RhoGam > now. > > On the other hand, if the screen is negative, then she needs another dose.. > Right? > > Joe P. > > -----Original Message----- > From: igold@cox.net > To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> > Sent: Fri, 24 Mar 2006 10:19:01 -0600 > Subject: Antenatal Rhogham > > I saw a patient today who received her Rhogham a bit early, at 25 4/7 weeks. She > is 37 weeks now. Would anyone recommend repeating her rhogham since it has been > 12 weeks and she is unlikely to deliver imminently? Thanks, Ingrid Gold,CNM > PS She is uninsured and poor (and undocumented so ineligible for prenatal > entitlement services), so would have to pay out of pocket for the bloodwork and > Rhogham. > -- R. Daniel Braun "The way to health is an aromatic bath and scented massage everyday".. Hippocrates Next message: GIN11153@aol.com: "Re: Antenatal Rhogam" Previous message: DMECNM@aol.com: "Re: GEN: Cutting Hospital costs?" In reply to: Lynn D. Montgomery, M.D.: "Re: Antenatal Rhogham" Next in thread: S Osterling M.D.: "Re: Antenatal Rhogham"

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