Re: Rhogam

From: Joanne Bulley, MD (jbulley@cheshire.net)
Sun Apr 30 20:23:22 2000


I don't do OB anymore, but tried to skirt this issue when I did Ob (1985-1993). I would be indirect and say until we have the BABY'S blood type (after birth) - the best recommendation I have is to give the RhoGam (generic is OK as far as I know). If they ask further, I would mention that there are various subdivisions of the Rh factor (ok, ok, I know that RhoGam is for the D antigen...)... blah, blah, blah. If they insist - I suggest a current typing of the 'dad' and let the patient, couple make the decision. I have had one patient who had been in the military and our blood bank typed her different from the military! So, it got done again - with verification from Red Cross or another Blood bank lab (I forget) - and our lab was right. So ... This is not one I trust to someone carrying a card and showing it to me that 'dad' is Rh (-)...

--
Joanne Bulley

At Sun, 30 Apr 2000, Paul Prior MD wrote: > >All agree on something <G> ... Oh I don't know - what do you do with >pregnant ladies who ask "but my husband is rh(-)?" > >Do you still recommend it? > >If not, do you advocate testing the FOB on RH(-) moms if the couple >does not bring the issue up? >-- >Paul Prior MD

--
Joanne Bulley, MD
Keene, NH, USA




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