Re: Rhogam

From: Griffiths Malcolm (Malcolm.Griffiths@ldh-tr.anglox.nhs.uk)
Fri May 9 12:04:46 2003


I think your approach is scientifically correct. There is no expression of Rhesus antigen at very early gestations. However guideline in UK advises anti-D if miscarriage involves surgical evacuation.

-----Original Message----- From: Richard Chudacoff, MD [mailto:rchudacoff@mylinuxisp.com] Sent: 09 May 2003 17:18 To: Multiple recipients of list OB-GYN-L Subject: Rhogam

Patient had an early first trimester spontaneous abortion, then came to see me a week later with bleeding. There seemed to be some retained POC, so I did a D&C on her. The pathologist called and asked why, if she is Rh negative, I did not give her Rhogam, and I told her that the risk of fetal transmission would be too low to require it. Am I way off base?

--
Richard Chudacoff, MD, FACOG
Chudacoff Obstetrics & Gynecology, PLLC
15200 Southwest Freeway, #270
Sugar Land, TX 77478

Tel: 281-277-3900 Fax: 281-277-3901

rchudacoff@mylinuxisp.com Richard.Chudacoff@obgyn.net

http://www.mdhub.com/281-277-3900 http://www.chudacoffobgyn.yourmd.com

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