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Re: RhogamFrom: DoctorJoe@aol.comMon Jun 30 08:45:17 1997
In a message dated 6/30/97 8:43:30 AM, you wrote: <<20yo, G4 P2012. Rh neg. NSVD x 2 with rhogam after del. TAB @ 20 wks without rhogam. Presents for first prenatal visit. No dates. FH is 36 cm. UTZ today 34w5d. Antibody screen neg. Would you give rhogam today? Why or why not? She delivers 4 weeks later. NSVD. Baby is Rh positive. If you gave rhogam at the initial visit, would you give it again? How long does rhogam work? >> I would give it as soon as you realized she "needed" it. If that was at 36 weeks, well better late than never. After all, the "danger" of transplacental hemorrhage worsens as gestation progresses, esp. in the 3rd trimester. If you just gave it (say at 36 weeks) and the lady delivers, then do an antibody screen. If the screen is positive, then she still has rhoGam on board and may not need a delivery shot. Joe P.
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