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Professionals--any experience w/ (Rh) E antibodies/antigen?  

post #1 of 2
Thread Starter 
Greetings! I am a doula and 12 weeks pregnant with my first baby. During my initial prenatal blood work, my CNM told me they discovered that I have E antibodies in my blood. My husband was tested and he has the E antigen. I have been referred to a maternal fetal specialist for a consultation b/c of the potential effects on my pregnancy and baby.

Does anyone have experience with this? I believe it's somewhat similar to the Rhesus (Rh D) sensitivity, just a different type.

This has been pretty devastating for me. I was considering a homebirth, but I assume that's no longer a possibility. No one else seems to be able to empathize with my potential loss of a normal pregnancy and birth. They just keep telling me that nothing else matters as long as I have a healthy baby. Of course, that's most important, but as a woman and especially a doula, the kind of pregnancy and birth experience I have are VERY important to me. Can anyone give me tips on trying to maintain a natural, low-tech pregnancy/birth while being "high-risk?" Thanks.
post #2 of 2
Hi DoualSpirit,

I had a client who's bloodwork came back with the Antibody big E. I did a lot of calling around and even went to the local hospital library, as my text books didn't have a lot of info on this issue. Even a nurse midwife and an OB I spoke with were misinformed about it...Antibody big E is one of those rare things that you have to do some digging to find out about. I did get some good info from one text, Creasy & Resnicks Maternal Fetal Medicine, and emails from some other midwives on the national level. I have copies of these if you would like to help prepare you for your meeting with the MFM folks, but they are from 2001. So, if you can get a hold of the latest text, it may have a newer study/ies?

In the C & R text...Out of 350 pregnancies in the sited study 108 babies were affected. Out of those only 13 needed phototherapy or exchange transfusion after birth...none of them being severely affected. There were no reported still births from hydrops.

Bottom line, you will most likely want to be monitored more frequently via U/S but this care can be done in conjunction with a homebirth midwifery care, and if all is well, which seems very likely from the above stats, you can have your homebirth.

Please let me know where I can fax this info too, if you would like it.

Take care!
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