PREGNANCY-BIRTH Messages for May, 2001: Re: D Antibodies ( Question on Plan of Care)

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Re: D Antibodies ( Question on Plan of Care)

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 23 May 2001 09:43:43 -0500 (CDT)

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In reply to: talia: "D Antibodies ( Question on Plan of Care)"

At Wed, 23 May 2001, talia wrote: >
>Hi i'm Currently 13 and half weeeks and had D antibodies found in my
>blood I am under the care of a midwife and I am from Canada. My
>question to the docters if your Antibodies are found to be above 1:32 is
>that when an amnio or ultrasound would typically be preformed? and If
>your below would you just have a serial of screens to monitor your
>levels throughout the pregnancy?
>
>This information I have read on the Medical Websites regarding RH
>negative women . And I want to know so When I find out my level monday
>the appropriate plan of care is taken ( as I am with a Certified Midwife
>not an Ob)
>
>Thank you for your time
>Talia Powell

Talia, The critical titer at which one begins to follow a pregnancy more closely is 1:16 for D. However, this follow with ultrasound or amnio usually does not begin until 18-20 weeks of the pregnancy. This is because prior to this gestational age, any required therapy (i.e. fetal transfusion) can not be done. In your case, you will have to have at least joint follow with an obstetrician so that the pregnancy can be monitored closely... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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