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DEAR Lieve
thank you for refering us to this article and this
informative site
Denise Hynd
----- Original Message -----
Sent: Saturday, December 14, 2002 4:29
AM
Subject: Re: [ozmidwifery] Anti-D - new
guidelines
Hoi Tania
On the website of Sarah
Wikham you can find a very interesting article about anti-D
http://www.withwoman.co.uk/
Lieve
On
13-12-2002 11:18, "Tom, Tania and Sam Smallwood" <[EMAIL PROTECTED]>
wrote:
Hi there,
Just received the new guidelines for administration of anti-D to
pregnant and post-partum women today in the mail. To be honest, found
it a bit difficult to understand, but maybe I need a bit of extra sleep
under my belt before I tackle it again! My question to the list is
this, it appears that due to a shortage of anti-D, the guidelines for
administration were changed, and for a period of approx. 2 years, women
didn't routinely receive it during their pregnancy. Now that supplies
seem to be more abundant, the guidelines have been changed back, to include
administration of one dose of immunoglobulin 624 IU at between 28 and 34
weeks of pregnancy. So what have the outcomes for the women with
negative blood groups during the past 2 years, when this hasn't been
routine, and is there adequate research to suggest that every woman should
be having this dose? It is a blood product after all, and a rare and
expensive one at that. I know we all want to err on the side of
caution, but it seems strange that it was stopped due to a shortage, and now
that it's available, we should all be giving it again, with no explanation
of what indeed the impact of not administering it during this antenatal
period was.
Hope this makes sense,
Tania
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