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Re: ACOG Rh antibody testing--whoa From: Gordon M. Goldman (goldmang@medicine.wustl.edu) Sun Sep 22 13:38:51 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gordon M. Goldman: "Re: Rh antibody determinations" Previous message: Gordon M. Goldman: "Re: ACOG Rh antibody testing" In reply to: MNudel@aol.com: "Re: ACOG Rh antibody testing--whoa" On Fri, 20 Sep 1996 MNudel@aol.com wrote: > I believe that these recommendations are being misinterpreted by listers. My > interpretation is that these recommendations are for following the patient > (who is antibody positive) with titers. This can be done until the titers > reach >1:8. I include the text of the ACOG bulletin for your own > hyperbilirubinemia treated by phototherapy, antibody titers are the > initial step of management. An antibody titer should be determined at > the first prenatal visit, at 20 weeks of gestation, and approximately > every 4 weeks thereafter. When the antibody titer is 1:8, whether > directed to D or another paternal antigen capable of causing severe > erythroblastosis, no intervention is necessary; when the titer is 1:16 > in albumin or 1:32 by indirect antiglobulin (indirect Coombs test), > amniocentesis or percutaneous umbilical cord blood sampling > (cordocentesis) should be considered (5). > This seems open to various interpretations. Perhaps we should get some clarification from the college? Gordon Next message: Gordon M. Goldman: "Re: Rh antibody determinations" Previous message: Gordon M. Goldman: "Re: ACOG Rh antibody testing" In reply to: MNudel@aol.com: "Re: ACOG Rh antibody testing--whoa"

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