PREGNANCY-BIRTH Messages for October, 1999: Re: rh factor question

Re: rh factor question

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 31 Oct 1999 16:37:17 -0600 (CST)

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Previous message: Julie: "Is is possible to ovulate and have a period at the same time?"
In reply to: Kim: "rh factor question"

At Sun, 31 Oct 1999, Kim wrote: >
>I have received some confusing news that I am rh neg. I went through a
>pg before with a different father. that pg went to term and all was
>well. I have very good care when I was pg, but no one ever mentioned
>that I was rh neg. I know that I did not recieve RhoGam either during
>or after the pg. I had an early miscarriage with my new Husband many
>months ago. Now I am 10 weeks pg again. My blood work came back from
>the lab and the dr said that I will need to recieve RhoGam because I am
>rh neg.

If you have a negative indirect Coombs (a certain antibody screen), you have not been sensitized by any previous pregnancy.

>Is it possible that my bllod type changed?

Abslutely impossible although one or the other resultws may be in error. I'd get it rechecked.

>Do I have any
>increased risks if I was neg before, and only finding out now with the
>second baby.

The indirect Coombs will give you the answer. Also, RhoGam is not necessary if the father of the baby is Rh negative too so get that checked out as well.

>The RhoGam thing seems easy enough, but I have also heard
>of babies needing blood transfusions in utero because of rh. Can you
>please explain why that happens. Sorry so many questions, but I am
>really quite confused. My Husband is rh positive.

Get your blood type rechecked and an indirect Coombs. If the indirect Coombs is negative, you're starting with a clean slate.

>Thanks so much.
>
>--
>Kquartz
>

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**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 emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

Previous message: Julie: "Is is possible to ovulate and have a period at the same time?"
In reply to: Kim: "rh factor question"

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