Anyone have a baby with ABO incompatibility? - Page 2

[Amys1st]

Most nicus will have their own blood transfusions ready for preemies and FT babies. There is a specific reason for this but I am having a major brain fart today...: I will edit back if I remember.

I am sorry when your baby was in there last time, you were the only FT baby. In my nicu at least once a week we had a FT come thru and those babies looked gigantic compared to my micro! One, I swear was 15 lbs was 8 lbs 5 oz (my dd1's birth weight!). But I always feel sorry for the FT parents since there is an issue they are there, not because they are early.

[GenomicsGirl]

Originally Posted by Amys1st

But I always feel sorry for the FT parents since there is an issue they are there, not because they are early.

That's sweet. Thanks Yes, my 7lb guy looked HUGE compared to all the 1-3 pounders! And he was naked the whole time because he was in the bili box! I'm really hoping to avoid the IvIg this time around ... I want her in my arms ASAP!

[GenomicsGirl]

Originally Posted by kands

GGirl--I wonder if they could use DH's blood for an exchange transfusion, rather than doing IVIg? Well, definitely keep us updated--I'll be thinking of you!

That's a great idea - I'll look into that, too. Thanks

[linda3]

Don't know if this will help at all as my alloimunisation was anti-Kell and anti-c, but with those 2 they can get worse with subsequent pregnancies but titre levels aren't helpful at all with subsequent pregnancies (my high risk obs didn't even bother taking my titres once i was past 18wks, they did do a couple more, but just for research reasons). My first affected pregnancy resulted in only slight jaundice, he was induced at 37 weeks, my 2nd affected pregnancy resulted in and earlier induction as he was showing signs of anemia in utero and was born at 35+4wks, he was direct coombs positive and spent about 3 days under lights which was a great outcome, had we waited any longer he would have required a full transfusion after birth.
I can't remember his bili levels, just that they went really high within 24hrs of birth.
Can they perhaps do a doppler ultrasound on your baby to see how it's doing in there to determine if it's being affected like they do with rh and my kind of antibodies?
I know with mine, if they get too high after 34wks gestation, that is when they will deliver because intra uterine transfusions become too difficult at that point.
Hope that helps a little and good luck

[Synchro246]

Shannon,
How are you? What are things looking like? ANy change?

I was wondering what the signs and symptoms are of HDN prenatally. Anyone know off the top of their heads?

[Synchro246]

http://www.ncbi.nlm.nih.gov/pubmed/16682519?ordinalpos=1&itool=EntrezSystem2.PEntrez. Pubmed.Pubmed_ResultsPanel.Pubmed_DiscoveryPanel.P ubmed_Discovery_RA&linkpos=3&log$=relatedarticles& logdbfrom=pubmed

Drabik-Clary K, Reddy VV, Benjamin WH, Boctor FN.
Department of Pathology, University of Alabama at Birmingham, West Pavilion P230, 619 19th Street South, Birmingham, AL 35249-7331, USA.

. . . The incidence of HDN ranges from one in 150 births to 1:3000 births, depending on the degree of anemia and level of serum bilirubin. The etiology of ABO hemolytic disease of the newborn (ABO-HDN) is complex because anti-A and anti-B antibodies are composed mainly of IgM. Since only IgG antibodies cross the placenta, those pregnant women with high levels of IgG anti-A,B, anti-A, or anti-B with an ABO incompatible fetus will be the ones to give birth to an infant with ABO-HDN. . .

[mommylovesra]

This is a really interesting thread. 2 of my 5 kids had the abo jaudice. I am O and my dh A. My first son who was born at 36 weeks had it, I believe his bilirubin got up to about 14 and my 3rd child the only girl who was born at 38 weeks had a bad case with levels up to 17 and double bililights.

I have had hypertension with all my pregnancies and delivered early with all of them. 35 weeks or below seemed to be the magic cut off date for us as my 35, 34, and 31 weeker did not develop it. The 34 and 31 weeker had jaudice but it was mild from being premature and they only needed a light for a day or so. My little girl was still getting her level checked when she was 2 months old.