No rhogam in last pregnancy- what to do when pregnant again? - Mothering Forums

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#1 of 5 Old 07-22-2009, 06:26 PM - Thread Starter
 
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I have five children over four pregnancies. My first three pregnancies I was given rhogam and 28 weeks and delivery. I am B- and my DH is AB+. All my babies (including my youngest) are B+. Because I thought last pregnancy would be my, well, last...haha...I refused both prenatal and postpartum rhogam. That was 16 months ago.

Now I am wanting to become pregnant again. What is my next step for managing this pregnancy? I know that things could either be totally fine or....not. I know there are a lot of threads when I searched but most of them are just discussing rhogam itself, not actually becoming pregnant when you havent had it. Thank you for all your help!

Mama to nine gorgeous babies, with finale #10 due April'14.
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#2 of 5 Old 07-22-2009, 06:30 PM
 
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Do you get bloodwork done during your pregnancy? If you do, I believe it is pretty standard to run an antibody screen. Just talk to your CP to make sure. This should be able to tell you if you have become sensitized or not.

Midwifery Student and Mama to 2 daughters and 3 sons.     
ribboncesarean.gif vbac.gifhomebirth.jpg I have given birth a variety of ways and I am thankful for what each one has taught me.

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#3 of 5 Old 07-22-2009, 06:32 PM - Thread Starter
 
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Yes, I will. If its not standard to be tested for that I will just let them know I need it done. Thanks for your reply!

Mama to nine gorgeous babies, with finale #10 due April'14.
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#4 of 5 Old 07-22-2009, 06:46 PM
 
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that's basically it... you get an antibody screen. if you've been sensitized, you'll be getting extra attention from the get go (IIRC, if you've been sensitized, you may have some extra challenges not miscarrying... not entirely sure.) if you haven't been sensitized, then it's just as if you'd had the rhogam last pregnancy... all normal and such.

I have a good friend who was sensitized from a miscarriage during which she wasn't given Rhogam. She's carried more than one baby to successful birth, but with lots of (justifiable) screening, monitoring, and difficult decisions (in terms of necessary interventions.)

Good luck!
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#5 of 5 Old 07-22-2009, 07:01 PM
 
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Quote:
Originally Posted by momtoafireteam View Post
Now I am wanting to become pregnant again. What is my next step for managing this pregnancy? I know that things could either be totally fine or....not. I know there are a lot of threads when I searched but most of them are just discussing rhogam itself, not actually becoming pregnant when you havent had it. Thank you for all your help!
I'd ask your GP or midwife to run an antibody titer on you now--they can do it separate from a prenatal panel. It's something I'd want to know first before TTC. I am also RH-, though DH is heterozygous positive (his mom is RH- like me) and only half of our children have been positive.

I have a friend who became sensitized after declining rhogam and got pregnant again not knowing it. Since she's a homebirther and very anti-establishment minded it was a really rough road going from a midwife to a perinatologist with all sorts of interventions, monitoring and a hospital birth.

Perpetually breastfeeding or pregnant ENFP mom to a lot of kids...wife to a midwestern nice guy...living in tropical paradise...pink cats and homebirths rock!

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