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OB:Rhogam after complete moleFrom: John Robertson M.D. (john.robertson@obgyn.net)Thu May 28 19:10:49 1998
I have a question for the group - after evacuation of a complete mole, do you need to give rhogam if the mother is RH negative? I thought that because there were no foetal rbc's, there would be no chance of maternal exposure to the antigen. The counter arguement was that the trophoblastic tissue has the same antigens on the surface and therefore the mother could be exposed. A few years ago this would have been less of an issue, but as RhoGam is a blood product and there is (a mostly theoretical) risk of transmission of such things as hep c etc, there is the potential for unnecessary exposure if infact there are no antigens in a molar pregnancies. Thanks, John
-- J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C. V2P 4M9 (604) 793-9988 e-mail john.robertson@obgyn.net Who is wise and understanding among you? Let him show it by his good life, by deeds done in the humility that comes from wisdom. James 3 vs 13, NIV
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