That is awesome!
post #41 of 65
7/22/09 at 10:18pm
At what point after birth is a baby's blood tested? I'm wondering how I will know if I should decline the shot after the birth. I felt like after DS was born, the doctor and nurses told me nothing about what was happening either to him or to me. I have no idea at what point I was given the second Rhogam shot, and I have no idea what my son's blood type is.
Is it incumbent upon the mother to ask that the baby's blood type be compared to her own before the shot is administered? Why don't they just do that automatically?
reviving this thread a little
I was planning on waiting until this baby was blood typed to make a decision about Rhogam, but wondering what everyone's opinion is about having it at 6 weeks because they know I am bleeding.
|One more test that hasn't been mentioned on this thread is called the Kleihauer-Betke test, and it's been around long enough that most OBs should be able to do it. It tests to find out how much fetal blood is in your circulation. If they find a lot, it's possible that you might actually need more than the standard Rhogam dose - that might be why some people still get sensitized even when they get the shot. However, it isn't perfect. I've been looking into it as hard as I can, and there's a chance that it won't detect really small bleeds. It's still worth doing, I think, to make sure you aren't having a really big bleed, but if you get a negative result it isn't a 100% indication that you don't need Rhogam, you'd still be stuck with that decision.|
|There is another factor that no one has mentioned that I know of, and it is the ABO sensitization. Yes, it does factor in with your chances of becoming sensitized with the Anti-D. If the mother is type O and the baby is either A or B, there is sensitization there too that can cause a milder reaction. However, with that sensitivity, the type O woman is less likely to develop antibodies for the rh incompatibility. So, the 1.8% goes down even further for those women. I believe that is anther factor that should be considered when deciding to get the Rhogham or not.|