Join Date: May 2005
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|hank you for all the replies, they've been very helpful.
I recognize there is a small risk in not taking the prenatal rhogam, but I think I've decided to wait for the postpartum dose. I'm already 30 weeks so I think it's too late to look into the prenatal testing for the baby's blood type...i should have had the shot already.
I'm thinking if I give the prenatal shot, I am definitely putting this baby at risk (that risk might be small, but I am still accepting to put something into my body that could negatively affect this baby).
If I don't take the prenatal rhogam, this baby won't be at risk at all. Future pregnancies might not be at risk at all (if this baby is negative), or there is a 2% chance that future children would be affected. We would like to have 1-2 more children after this one, but there is no guarantee we will get pregnant again. So I feel like we'd be putting the baby that we do have at risk for future babies that we are not guaranteed to have.
this has been such a hard decision, and I'm still not 100% sure....sometimes i think i am just overreacting by questioning a decision that is considered safe and is part of standard medical procedure. My mom is a nurse and I haven't even told her that we refused the prenatal rhogam (and I don't plan to tell her) because I think she would view us as being foolish and I don't really have any studies to cite that rhogam could be harmful.
I really wish I was just positive myself and didn't have to worry about this!!
|i gave the dr. an earful the next day. i waited until almost 48hrs post labour to get my winrho shot.
i said that not only did i not appreciate the attitude given that i had a preemie, but that my midwives supported my decision not to receive the winrho shot before giving birth, and that as primary health providers in ontario, that that doctor was in effect questioning the care of my midwives.
i then asked why it was that the doctors there couldn't tell me why my son was born premature (no medical reason) but that i should be questioned about not taking winrho at 28wks. then i angrily said, because you seem to have all the answers...never saw that dr again, and thankfully the rest of the staff were professional. yeah, don't mess with a woman who speaks her mind especially after a difficult birth!
The main consequences for me were:
1. No more homebirth. At first we were going to comanage with a perinatologist, but insurance won't cover both so I switched to CNMs in the peris hospital...and then my titers went up (meaning the odds of it affecting the baby went up slightly too) and I got entirely sent to the peris, who are very conservative. This has a lot of ramifications for what kind of birth I'm going to end up having.
Some homebirth midwives will see you even if you're sensitized (depends on the state and the mw's comfort level) but generally speaking if your titers increase, that's a definite risk-out because it often means some blood mixing is occurring again and/or that the fetus is at greater risk of being affected by the antibodies.
my midwives didnt even suggest that i should get rhogam prenatally or get antibody tests done unless i felt i should. they would not deny care based on me getting or not getting medical tests done, everything is my choice in my homebirth. maybe not all midwives can or do practice like this but i am choosing not to get the 28 wk shot and i did get a titer check once which showed i am not sensitized but i wont be doing this again during this pregnancy unless it seems i should due to some issue.
mama to callum (april 8,07) and everett (sept 24,09) - blessed to be married to my life's love since '98.