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Discussion Starter · #1 ·
If and when I get preg again, I would like to consider a HB BUT I have A- blood which requires the baby's blood to be tested at birth, if you a RH- mom you understand, it's to much to go into detail and explain it right So I was lead to belive that I have to birth in the hospital, so both DS were in the hospital. What's the REAL deal with RH- blood and homebirths?
 

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Uh... there is no deal? Assuming you aren't already sensitized (which is a simple blood test that can be done now), there's no reason to not birth at home. You can choose to have Rhogam at about 28 weeks, or not, and you if you'd want to consider Rhogam after the birth (a very good idea if you're not certain this is your last child), the midwife can collect blood from the baby and send it to a lab for testing. If it comes back positive, you can get a Rhogam shot from the midwife. Ideally before three days, although honestly that's a pretty arbitrary number.<br><br>
If your midwife can't do a blood draw or can't get the Rhogam (even illegal midwives I've talked to have always been able to procure some), you can take the baby into a babydoc for the test. Or you can just do Rhogam after the birth regardless, and find out the baby's bloodtype later.<br><br>
And of course, all of this is assuming you don't know the bio father's blood type, or you know it's Rh+. If you <i>know</i> the bio father's blood type is Rh-, there's no worries!<br><br>
Rh factor is in <i>no way</i> a contraindication for homebirth. Rh sensitization is another matter - that can cause problems for the fetus that may (or may not) require hospital care. But if you're not already sensitized, it's no problem.
 

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I'm a RH- mom. I had a sucessfull HB and afterward ds' cord blood was tested. It turned out he is RH- like me and no Rhogam was needed <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
Being RH- is no reason not to homebirth.
 

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Discussion Starter · #4 ·
DH must be O+, DS1 is O- and DS2 is O+. I had to have the Rogham shot after DS2, well maybe not ,but I don't know, I just was told I needed it for the next time if I got preg, to try to prevent a M/C if that is even true.
 

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Actually, your husband could still be A+ or B+ with those stats, although O+ is more likely. (It has to do with phenotype v. genotype and recessivity - I enjoy genetics, but I don't know whether everyone else does, so I'll leave that for now <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1">).<br><br>
Rh sensitization is a serious issue. Although having a Rh+ child is not a guarantee you'll get sensitized (less likely with a gentle homebirth than a typical hospital birth, but possible either way), if you do develop antibodies to the positive factor, your body could attack a future child who has Rh+ blood. This can result in miscarriage or still birth, but more likely would be anemia in the fetus - sometimes to the extent requiring a complete blood transfusion, because their blood will contain some of the antibodies, essentially meaning their blood is attacking their own tissue. It can be deadly for the baby, although that's not common anymore, because we have ways of preventing, detecting, and treating it.
 

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You don't HAVE to do anything.<br><br>
Just had to say that first.<br><br>
You may CHOOSE to treat or not treat the fact that you are RH-, depending on what you feel is best.<br><br>
It is CERTAINLY no reason to birth in a hospital..in fact, most would say that you are more likely to have a traumatic/managed birth in the hospital, thus increasing the chance your blood will mix with the babies, and thus increasing your chances if sensitization. But regardless, the fact that you MIGHT need treatment AFTER the birth does not in ANY way mean you need to medicalize the birth itself.....<br><br>
I don't know if midwives are legal in your state or if they attend homebirths, but a midwife would be able to test your bloos after the birth and if you CHOOSE a rhogam (hopefully the special mercury-free kind, right?) shot, then you can get one from her. If they do not practice, or you wish to UC, you can simply present yoursel to your doctor or even ER within a couple days of birth in order to get the shot, if you want it.<br><br>
MANY women who are RH- who homebirth choose NOT to get the shot, for various reasons (and also some choose to get it!). I would venture to say that MOST do NOT get the shot DURING pregnancy, because of the risk of the chemicals getting to the baby.....in fact, my CNM will NOT give the shot during pregnancy, unless there is a traumatic event involving bleeding, because she believes the risk to the babies is too great from the shot.<br><br>
Continue to learn and hopefully you can come to a real informed decision about what you feel is best to do. Evene though you clearly aren't vompletely informed, you are obviously somewhat informed...THINK about it for a second...why would something that *might* be an issue AFTER the birth require you to give birth IN the hospital....ummm....can we say....the doctor LIED to you?
 

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You live in BC, the midwives are able to give the RHoGham shot at home even. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin">
 

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Yes, you can always decline the RhoGam, but I'm guessing that since you're asking this question, you'd want to take it if your child was Rh+...<br>
I had a HB. I'm O- and DH is A+. My MW tested DS's cord blood at birth and at the 24 hour visit, she gave me a shot of RhoGam b/c DS is also A+. No big deal! Being Rh- is no reason not to have a homebirth!
 

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RH- mom here, with one hospital birth, one homebirth, and one baby on the way (planning on a homebirth again).<br><br>
My midwives have not had any problem with getting me the post-partum RhoGam shot at all, and I declined the prenatal shot this time around.
 

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RH- here as well, one hospital birth with dd1 who was RH+, I received Rho-gram. DD2 was a HB, I don't know her blood type I didn't find out knowing that I would not receive Rho-gram if she was +. I have a blood typing kit that I'll use to test her myself one day. I highly recomend that every pg woman who is RH- read Sara Wickham's book 'Anti-D in Midwifery", very eye opening.
 
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