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Re: OB:Rhogam after complete moleFrom: Calvin J. Siegers, MD FACOG (csiegers@hayburn.com)Fri May 29 18:28:25 1998
At Thu, 28 May 1998, John Robertson M.D. wrote: > >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 >
Since no fetal RBC, then no Rh antigen, therefore no isoimmunization
possible, therefore no Rhogam prophylaxis given by me. Anyone else? Cal
>
-- Calvin J. Siegers, MD FACOG...private practice, 20 yr veteran, Holland, MI
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