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Re: Antenatal Rhogham From: Lynn D. Montgomery, M.D. (apgar10@montanadsl.net) Fri Mar 24 13:32:10 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Raymond Stephen: "Re: A1C for GDM" Previous message: S Osterling M.D.: "Re: GEN: Cutting Hospital costs?" In reply to: S Osterling M.D.: "Re: Antenatal Rhogham" Next in thread: Dean Huffman .: "Re: Antenatal Rhogham" Aha, but is he really the father? -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of S Osterling M.D. Sent: Friday, March 24, 2006 1:16 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Antenatal Rhogham Also, If paternity is assured, you could test dad's blood type. If $ is a big issue, he can get that by donating. If he is RH neg, then your OK. I would redose, but in CA, the state would cover the rx. Scott On Mar 24, 2006, at 9:14 AM, Lynn D. Montgomery, M.D. wrote: > I agree completely Joe. > Lynn > > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of > doctorjoe@aol.com > Sent: Friday, March 24, 2006 9:30 AM > To: Multiple recipients of list OB-GYN-L > Subject: Re: Antenatal Rhogham > > Interesting problem and one cannot be unsympathetic. >   > Still, the risk of sensitization with this pregnancy, and then with > possible effects on subsequent gestations, fairly mandates some  > action. >   > The least expensive course might be to obtain the indirect Coombs > first and detect any residual antibodies, which, if present, would > indicate ongoing levels of RhoGam "protection". This would obviate the > need for redosing before delivery, which would at least save the cost > of the RhoGam now. >   > On the other hand, if the screen is negative, then she needs another > dose. Right? >   > Joe P. >   > -----Original Message----- > From: igold@cox.net > To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> > Sent: Fri, 24 Mar 2006 10:19:01 -0600 > Subject: Antenatal Rhogham > > I saw a patient today who received her Rhogham a bit early, at 25 4/7 > weeks. She is 37 weeks now. Would anyone recommend repeating her > rhogham since it has been > 12 weeks and she is unlikely to deliver imminently? Thanks, Ingrid > Gold,CNM PS She is uninsured and poor (and undocumented so ineligible > for prenatal entitlement services), so would have to pay out of pocket > for the bloodwork and Rhogham. > S. Osterling M.D. California Next message: Raymond Stephen: "Re: A1C for GDM" Previous message: S Osterling M.D.: "Re: GEN: Cutting Hospital costs?" In reply to: S Osterling M.D.: "Re: Antenatal Rhogham" Next in thread: Dean Huffman .: "Re: Antenatal Rhogham"

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