Test results from bloodwork - Updated - Mothering Forums
 
Thread Tools
#1 of 12 Old 04-27-2007, 05:35 PM - Thread Starter
 
renaissanceed's Avatar
 
Join Date: Aug 2005
Location: prairies of Canada
Posts: 1,236
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Just wondering if anyone has any experience with testing positive for the anti-e antigen (and being RH positive). Apparently my bloodwork results came back indicating this and this probably means that I'm being risked out of midwifery care according to their guidelines. They are going to re-test and I've tried to do some research but it's rather confusing and I am not thinking too straight 10 minutes after the phone call.

Anyone?
renaissanceed is offline  
Sponsored Links
Advertisement
 
#2 of 12 Old 04-27-2007, 05:39 PM
 
scheelimama's Avatar
 
Join Date: Aug 2003
Location: Ft. Sill, OK
Posts: 5,292
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I have no idea what that means. I hope everything is just fine.

Alisha, Army wife to Nathan , Homeschooling mama to Scheeli (May 2003) , Bronwynn (Nov. 2004) :, Piper (Nov. 2007) , and Wesley (January 2010)
scheelimama is offline  
#3 of 12 Old 04-27-2007, 05:41 PM
 
*Lindsey*'s Avatar
 
Join Date: Mar 2005
Posts: 2,510
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I'm clueless, too. Sending lots of s your way.

I'm sure someone here will have an answer.

Catholic Homeschooling mama to DS (6), DD (4), twin DDs (2), DD (7 months), and someone new 7/31/10!
*Lindsey* is offline  
 
#4 of 12 Old 04-27-2007, 05:53 PM
 
pixiesmommy's Avatar
 
Join Date: Apr 2007
Location: From NC, living in IL
Posts: 1,005
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
If this is what I think it is.... it means your bloodtype is negative and your baby's is positive.

My mom had this with both of her pregnancies. With me, her first, it was not a problem... because just like you can eat something for the first time or take meds, etc and not have an allergic respsonse, your body does the same with your first RH positive pregnancy. (I'm not sure if this holds true in ALL cases, but it was for her.)

For her 2nd pregnancy, she had to simply get shots so that her body would not reject the baby (who was RH pos) as a parasite. She said it was no big deal. This would have been in 1980, so I'm not sure if procedures have changed any for RH pos. baby/RH neg mom from then until now.

I don't see how that puts you at risk if all you need is a few shots. Do they work with any OB's? Maybe it's a matter of some more testing and getting you regulated, or working with an OB *and* a midwife.

Best wishes!!!
'Manda

::Mommy to Pixie : 9-3-00 and Peri 11-15-07
pixiesmommy is offline  
#5 of 12 Old 04-27-2007, 06:19 PM
 
*Lindsey*'s Avatar
 
Join Date: Mar 2005
Posts: 2,510
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by pixiesmommy View Post
If this is what I think it is.... it means your bloodtype is negative and your baby's is positive.

My mom had this with both of her pregnancies. With me, her first, it was not a problem... because just like you can eat something for the first time or take meds, etc and not have an allergic respsonse, your body does the same with your first RH positive pregnancy. (I'm not sure if this holds true in ALL cases, but it was for her.)

For her 2nd pregnancy, she had to simply get shots so that her body would not reject the baby (who was RH pos) as a parasite. She said it was no big deal. This would have been in 1980, so I'm not sure if procedures have changed any for RH pos. baby/RH neg mom from then until now.

I don't see how that puts you at risk if all you need is a few shots. Do they work with any OB's? Maybe it's a matter of some more testing and getting you regulated, or working with an OB *and* a midwife.

Best wishes!!!
'Manda
Hmmm. Actually, RH+ means that you won't need the Rhogam shot. My bloodtype is A+ and DH is A+ so I'm RH+ and don't need Rhogam. If one of us was a - bloodtype, then I would.

I don't know what the anti-e antigen is, though. From what I've just briefly googled, I think it has something to do with hepatitis B transmission. :

Catholic Homeschooling mama to DS (6), DD (4), twin DDs (2), DD (7 months), and someone new 7/31/10!
*Lindsey* is offline  
#6 of 12 Old 04-27-2007, 06:27 PM
 
*Lindsey*'s Avatar
 
Join Date: Mar 2005
Posts: 2,510
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Here's a link: http://forums.obgyn.net/pregnancy-bi...0012/1526.html

Catholic Homeschooling mama to DS (6), DD (4), twin DDs (2), DD (7 months), and someone new 7/31/10!
*Lindsey* is offline  
#7 of 12 Old 04-27-2007, 06:45 PM
 
Join Date: Jun 2004
Posts: 1,986
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I might be able to help you out - both dh and I are in the med lab field, and dh oversees a large hospital blood bank now.

Did they titer you to see how much anti e you do have? And, it may sound like an odd question, but are you white? Feel free to pm me if your uncomfortable with posting your race.

(and is it a BIG E or a little e?)

And, was your antibody screen pos? (assuming it is)

Last minute thought...they NEED to phenotype your dh (for c,d,e).
monocyte is offline  
#8 of 12 Old 04-27-2007, 06:46 PM
 
lisalulu's Avatar
 
Join Date: Jun 2005
Location: Seattle
Posts: 2,415
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I've never heard of it before but I found this online:

"What is Anti-E?
The rhesus gene is made up of three components, C, D, and E. Clinically significant rhesus problems usually only occur with the D antigen. However, if you are E antigen negative, carrying a baby who is E antigen positive and you come into contact with the E antigen positive (either from a bleed in pregnancy, at delivery, or from a transfusion), then you may develop E antibodies. The concern is that there is a risk of these antibodies attacking the red blood cells of the baby. In fact, the risk of this occurring with E antibodies, even when they are present in large amounts, is very low. However, when antibodies are present, blood tests are usually done regularly to check on the levels present. If these levels are rising, the baby would be closely monitored to look for any signs of anaemia or haemolysis (destruction of blood cells). I cannot give you exact figures as regards the possible risks associated with the presence of E antibodies, but I do know that some obstetricians do not even monitor the levels of E antibodies because they do not believe that these pose any risk to the baby."

Lisa, mama to A (3/05) and R (11/07) and L (8/10)
lisalulu is offline  
#9 of 12 Old 04-27-2007, 07:32 PM - Thread Starter
 
renaissanceed's Avatar
 
Join Date: Aug 2005
Location: prairies of Canada
Posts: 1,236
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
I might be able to help you out - both dh and I are in the med lab field, and dh oversees a large hospital blood bank now.

Did they titer you to see how much anti e you do have? And, it may sound like an odd question, but are you white? Feel free to pm me if your uncomfortable with posting your race.

(and is it a BIG E or a little e?)

Last minute thought...are they going to type/screen your so?
Monocyte - thank you very much for your kind offer.

My midwife didn't mention titers, although after I got off the phone with her and did a little bit of research myself, I wished I'd asked, although not knowing anything about it at the time and being totally unprepared for this kind of news, I guess I can't really expect that much of myself. I've left her a message asking her this.

I am white, and I'm pretty sure it was little e, although again I didn't know there was a difference, so I've also asked her this in my message.

They are going to retake blood at my next appt May 7th, and also SO's blood, so we'll see what comes of that. I'm trying hard to remain optimistic that I can at least have a MW at a hospital birth as a worst case scenario, rather than transferring care to an OB. Not that I have anything personal against OBs but I really like the idea that I will know the person at my birth, IYKWIM, either the MW or her partner.

When I know more, I'll likely PM you, cause I think I'm missing a lot of info.

Thanks again!
renaissanceed is offline  
#10 of 12 Old 05-09-2007, 12:14 PM
 
Join Date: Jun 2004
Posts: 1,986
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Any updates??

Thinking of you!
monocyte is offline  
#11 of 12 Old 05-09-2007, 12:53 PM - Thread Starter
 
renaissanceed's Avatar
 
Join Date: Aug 2005
Location: prairies of Canada
Posts: 1,236
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Thanks for thinking of me!

We had our appt with the MW yesterday and learned that I tested positive for Anti - Big E, but that there was not enough blood to get titers (8 vials of blood and not enough!). So they've taken blood from me and DH yesterday and are sending it off to the RH lab for retesting.

Our MW also did a consult with one of the best OBs in the city on the phone while we were there regarding this. (He's very pro= home birth and horrified by the rate of caesarean births in North America, although apparently very brusque - but everything I've heard about him leads me to value his opinion.) The standard of care for MWs says they have to transfer care to an OB. However, he suggested that we carry on with our MW for now, just getting a lot of bloodwork done so that the titers can get checked. He said there was basically no risk to the baby, the problem was with me. So, we're going to wait for the new results, and probably get tested regularly from now on.
renaissanceed is offline  
#12 of 12 Old 05-10-2007, 11:20 AM
 
wwisdomskr's Avatar
 
Join Date: Dec 2006
Location: west of there, east of here
Posts: 1,878
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Edwina,

Thanks for the update.

Sounds like you have a great consultant! Hey, can he just come along for the homebirth!? I'm glad he's encouraging you to stick with your mw for now. It's great to have allopathic expertise when we need it!

Please keep us posted. I hope that this all works out in the best possible way... Take gentle care of yourself, mama.
wwisdomskr is offline  
Reply


User Tag List

Thread Tools
Show Printable Version Show Printable Version
Email this Page Email this Page



Posting Rules  
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off

Online Users: 1,446

8 members and 1,438 guests
alex-alex , bob smith. , Chapter4 , JTA Mom , KerriB
Most users ever online was 21,860, 06-22-2018 at 09:45 PM.