What I am searching for is the truth, not an arguement, so I wont reply anymore to something that ends up being a dead end arguement about the Rhogam shot. Thank you to all who have been so helpful so far. Can anyone give me more information about the quote "My biggest objection to antepartum Rhogam is the fact that the baby can be born direct Coombs positive from the Rhogam injection itself. This is one of the contraindications, although rarely mentioned by the drug company or physicians. I have seen this scenario, where the baby had to be transfused after delivery because of antepartum Rhogam." This was a quote that was an article reprinted from Midwifery Today, just to give whoever credit. I have no idea who wrote the article. I will try to do some research to find out. The quote concerns me if it is true, that would possibly be a risk factor in taking the shot. Again as I stated I ALREADY know the risk factor of not taking it prenatally, so please don't tell me how horrible of a mom I am because I am considering not taking it while I am pregnant.
Does anyone know about the ingredients, about the poly 80 that is in it? I've been told it causes fertility problems and also immunity problems? Does anyone know of any long term studies done on the Rhogam shot? I've also been told by several women that they did what their doctors said and they took all the recommended Rhogam shots and still ended up sensitized. I now understand why this happens. Are there any women who insist that after their baby is born they go ahead and immediately check their own blood to see if they were sensitized during pregnancy and, then shortly after birth to see how much if any fetal cells are in their blood from delivery and give the shot according to that amount. My understanding is the Rhogam is a one size fits all and only covers up to about 30ml of the babys blood mixing. If I choose to do the extra testing it seems I would have a better chance of not getting sensitized if my baby does end up positive, and our blood does end up mixing. If I go this route with my midwife I need to find out exactly what the tests are, when they need to be done to be accurate, and to even find out if my midwife can do them. I will add the quote about the tests incase anyone can tell me more about them..... "So, personally I think that the most intelligent and safe thing to do for all concerned is to conduct these tests before administering RhoGAM: Kleihauer-Betke (for presence of ANY fetal cells); and if KB is positive, then Rosette test (actual/estimated # of fetal cells). If no fetal cells are found, RhoGAM is not needed. But if they are found in mom's bloodstream, then it is very good to have an idea HOW MANY--because this determines the proper dosage of RhoGAM to give. Most care providers do not do any of these tests, just administer a 'standard dose' of RhoGAM to any Rh- woman during pg and following any of above 'events'. With no fetal blood cells present, again, RhoGAM is unnecessary. AND, one 'standard dose' of RhoGAM only 'covers' the 'average amt' of blood mixing (about 30 mls)--but if mom's blood contains MORE THAN 30mls of baby's blood, then she could still create antibodies after the 'standard dose'. So, knowing how much fetal blood is present helps determine how much RhoGAM to give.
there are cases of women who received RhoGAM and still made antibodies--it is understood for at least some of them, that this occurred because they were not given enough RhoGAM. Care providers made an assumption rather than testing her blood thoroughly. It is also likely that RhoGAM simply doesn't work for everyone--nothing does!
So with all that said, I am still on a quest for more info. on making the best decision. As a happy end to this post my 4 year old precious son saw all the smiley faces and wanted me to put this one on the end of this post.