Re: Rhogam injection during Pregnancy-Dr. M

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I'm the Amy who wrote the message about getting the RhoGam shot during pregnancy. I just thought I'd tell you that they didn't even ask about my husband's Rh status or test it. It was my impression that doctors automatically give the injection to Rh negative mothers, assuming that the father is positive--probably just for the reason you stated...because you can never be sure about paternity.

I'm glad they did because my son did turn out to be Rh positive...

I just thought you were full of good questions and figured I'd reply.

--
Amy

>
>Hi!
>Thanks for your response, Dr.  M.  I wasn't criticizing the use of
>Rhogam during pregnancy.  I'm always amazed at how protocols change.
>When I was having babies (1979 and 1981) this was not done routinely,
>but I think they were starting to talk about it but then not too many
>years before me Rhogam wasn't even an option!
>I realize that you are depending on a patient being honest with you, but
>there are situations-denial etc.  where the patient might not even
>realize she is lying.  Or where the risk of being honest too great (of
>course the patient may not realize by not being honest that the risk to
>the baby could be even greater.) Rather than take this risk, or risk
>offending the patient by auggesting that her husband might not be the
>father, I wondered if it would be acceptable to go ahead and give Rhogam
>to all RH negative women unless proven (as in baby' blood type) that it
>is not necessary.  I guess the same would apply to an RH negative woman
>having a miscarriage and has an RH negative husband.  I'm not expecting
>an answer on this, just wondering.
>
>Chris S.

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