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Re: IsoimmunizationFrom: Wolfgang Moroder (womorode@tin.it)Mon Mar 15 15:05:11 1999
>Dear Natalie > >Very important that this pregnancy is managed by someone experienced in >prenatal hemolytic disease. It may not need any intervention (depends >on partner's blood group) but may come to fetal intrauterine >transfusions, so get a specialist involved soon. > >Failure of anti D prophylaxis is quite common. I see and treat many >patients from this category > >-- >Ross Welch Dear Dr. Welch I am rather surprised hearing from you of a high failure rate of anti D prophylaxis. In my experience I do not know of any case of prophylaxis failure although we do see only 2-4 cases of isoimmunization for Rhesus factor a year, but parity in our region is rather low. We give Rh antibodies after every miscarriage, delivery or invasive procedure and we regularly perform a ind. Coombs Test after 24 h and if it is negative we repeat the prophylaxis with an othe shot. Best regards Wolfgang Moroder
-- Dr. Wolfgang Moroder Director Department of Prenatal Medicine Bolzano General Hospital Via Boehler, 5 I-39100 Bolzano BZ Italy
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