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Re: Prenatal rhogam Qs...From: CheriVH@aol.comMon May 20 16:01:30 1996
In a message dated 96-05-20 16:39:24 EDT, Rick Chudacoff writes:
>As cynical as this may sound, I give Rhogam to all my Rh (-) patients, I saw a study cited in Nature magazine recently which indicated that as many as 10% of children are not the biological offspring of the mother's partner of record. (How's that for politically correct pussy-footing around?) In my previous practice we had a particularly memorable situation in which we had to send the baby's cord blood for postpartum typing confidentially, as the mother had confided to us that her Rh negative husband may not be the baby's father. This was a genetically savvy fellow who knew that all his children by this woman should be Rh negative. There were a few touchy moments postpartum when we had to struggle to preserve her privacy while functioning in a family-centered environment where the father was nearly always present. Tricky. I'm sure this sort of situation would be much more prevalent in certain high-risk environments (such as for instance, the Navy) where prolonged separation of spouses and other marital stressors would increase temptations for both partners. Cheri Van Hoover, CNM Kaiser Hospital Redwood City, CA
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