WOMENS-HEALTH Messages for July, 2001: Re: RH Sensitization/Titer Q

Re: RH Sensitization/Titer Q

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 26 Jul 2001 16:04:24 -0500 (CDT)

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In reply to: mary: "RH Sensitization/Titer Q"

At Thu, 26 Jul 2001, mary wrote: >
>In my last pregnancy I became sensitized to D, no Rhogam shot. On the
>morning of the day my daughter was born I had an amnio (no Rhogam),
>bloodtest with a titer of 1:8, then emergency Csection (noRhogam). The
>bloodtest is where they confirmed that I was sensitized. 7 months after
>delivery and 10 months after delivery I was retested and my titers were
>1:256. Could the amnio and the csection have been the 2nd and 3rd
>exposure of fetal/maternal blood, and is that why my titers went up? I
>know that Rhogam would have been useless to give me at both of those
>times - just trying to figure out why the titers went up. (on the day
>of delivery my KB test was neg, coombs was pod, baby was born anemic,
>jaundice, needed an exchange transfusion and phot therapy, she was in
>the NICU for 10 days)
>
>thanks

Those are both things that can cause fetal bloodto enter maternal system and will make the titers go up. Prior to getting pregnant again, see a Maternal Fetal Medicine specialist for a PRE conception consult.

--
R.Daniel Braun, MD  FACOG   FOG
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Next message: R. Daniel Braun, MD: "Re: Stopping period on Mircette"
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In reply to: mary: "RH Sensitization/Titer Q"

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