Re: Rhogam
From: art fougner, md (evsono@pipeline.com)
Fri May 9 12:55:00 2003
Malcolm
is there any evidence that completion of a spontaneous miscarrage by
curettage results in a higher risk of sensitization than spontaneous
completion?
just wondering the basis of the recommendation.
art
At Fri, 9 May 2003, Griffiths Malcolm wrote:
>
>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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--
art fougner, md
ich bin ein New Yorker
