Re: Rhogam

From: rbraun@indyunix.iupui.edu
Mon Jun 30 18:10:17 1997


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R. Daniel Braun, MD FACOG                "Money will buy you a fine dog
Clinical Professor  OB/GYN                but only love will make it
Indiana University School of Medicine     wag its tail"
Indianapolis, IN                                  Richard "Kinky"
OBGYN.net, International Rep. U.S.                        Friedman
                                   Kinky Friedman for President
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On Mon, 30 Jun 1997 DoctorJoe@aol.com wrote:

> > In a message dated 6/30/97 8:43:30 AM, you wrote: > > <<20yo, G4 P2012. Rh neg. NSVD x 2 with rhogam after del. TAB @ 20 wks > without rhogam. Presents for first prenatal visit. No dates. FH is 36 cm. > UTZ today 34w5d. Antibody screen neg. > > Would you give rhogam today? Why or why not? > > She delivers 4 weeks later. NSVD. Baby is Rh positive. > > If you gave rhogam at the initial visit, would you give it again? > How long does rhogam work? >> > > I would give it as soon as you realized she "needed" it. If that was at 36 > weeks, well better late than never. After all, the "danger" of transplacental > hemorrhage worsens as gestation progresses, esp. in the 3rd trimester. > > If you just gave it (say at 36 weeks) and the lady delivers, then do an > antibody screen. If the screen is positive, then she still has rhoGam on > board and may not need a delivery shot.

OR SHE MAY NEED IT. RDB

> > Joe P. >





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