Re: Rhesus Disease

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Best Wishes, Elizabeth, CCE

------------------------------------ >For the most accurate answers, you need to consult a perinatologist who
------------------------------------ >is expert in Rh disease.

--
------------------------------------
>
>At Mon, 13 Apr 1998, Michelle wrote:
>>
>>I have Rhesus Negative blood and my husband has heterozygote rhesus
>>positive blood.  I am in my 34th week of pregnancy and it has been
>>confirmed that I am carrying a rhesus negative baby.
>>
>>I would like another child but have a titre of 1/32 and have been
>>advised by my doctor not to risk having another.  I know what the
>>dangers are associated with Rhesus disease but have the following
>>questions:
>>
>>* How risky is a 1/32 titre.  Have "normal" babies been born to women
>>with these antibody levels.
>
>Depends upon whether the titer is rising or has been steady.  Also,
>amnio is used to evaluate the fetus as welll as PUBS (umbilical blood
>sampling) if necessary.
>
>>* I have heard of a process called plasmaferisis - can this lower the
>>level of antibodies before I wish to become pregnant again - I have
>>heard that it can assist in at least maintaining antibody levels during
>>pregnancy.  Surely if this was done before becoming pregnant I would be
>>able to lower my titre.
>
>This needs to be checked out with a perinatologist.  Plasmaphoresis is a
>temporary solution to some problems but I have no specific knowledge
>about this use.
>
>>* Is there any way that at fertilisation (in-vitro possibly) my
>>husband's sperm could be separated into negative-type sperm so that we
>>could be assured of another rhesus negative baby?
>
>Not that I'm aware of at this minute.
>
>>I would greatly appreciate a reply as I have researched this topic in
>>detail and have been unable to get answers to the above questions.
>
>Good luck.
>
>--
>Harvey S. Marchbein, M.D. FACOG
>OBGYN.net U.S. Representative, New York
>Great Neck, New York
>http://www.obgyn.net/states/bios/marchbein.htm
>http://www.obgyn.net/women/advisors/harveym.htm
>
>**Note:  Opinions expressed here are for educational purposes only
>and, as such, do not constitute a physician-patient relationship.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options
>and/or interventions.
>
>**Private emails cannot be entertained due to time constraints,
>consequently no private emails will receive a response.
>
>**Thank you for your understanding ;-)
>

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