Re: Rhogam injection during Pregnancy-Dr. M

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I`m in the same situation being Rh negative. After my miscarriage this past September, the hospital gave both my husband and I a blood test. My husband turned out to be positive, therefore I needed the RhoGam. I got the impression that this was routine procedure. So it may depend on the hospital...

--
Michele

At Tue, 23 Nov 1999, Amy wrote:
>
>Hi Chris,
>
>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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