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antenatal Rhogam:whyFrom: emilio porro (sanbonav@hotmail.com)Sat Mar 25 23:11:33 2006
Here in Italy we do RHogam protection in Rh negative women only after abortion ,spontaneous or induced , after amniocentesis or chorionic villous sampling,within 48 hours after birth of a Rh positive baby and now after vaginal bleeding during pregnancy or abdominal trauma. We do every two months during pregnancy indirect Coombs anti_D We dont ask presumed father's blood group (mater semper certa,pater nunquam=we know who is the mother,not who is the father) P.S.:remember it derives from human blood (HIV,EPATITIS AND SO ON) ,needs patient's written consensus ,cannot be used in Jeovah followers Yours faithfully Porro Emilio M.D. Como-Italy http://www.sanbonaventura.com From: doctorjoe@aol.com Reply-To: ob-gyn-l@obgyn.net To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Subject: Re: Antenatal Rhogham Date: Fri, 24 Mar 2006 10:29:44 -0600 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.
-- Emilio Porro M.D. Ob.Gyn. Como Italy http://www.sanbonaventura.com who,whose, with,what,why,where,when,while,watch world wide web
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