Thats interesting Marilyn as I have never heard of this being done.
Everywhere I have ever worked( not many institutions I admit) give the
anti D and thats it. No follow up is done. What do other people do? How
often after birth do you have to give a second dose? I can see more
homework is needed to find out what is best practice.
Andrea Quanchi
On Saturday, October 30, 2004, at 08:15 , Marilyn Kleidon wrote:
Yes there is. In the hospital up in FNQ at least, we do a FCAD (free
circulating anti-D blood test) 48 hours after the anti-D is given
(apparently this test was done 24 hrs after the previous brand of
anti-D but
this changed with WinRho to 48 hrs). If there is passive anti-D detected
then no further anti-D is given if the test is negative in other words
all
of the antiD has been used up then another dose of antiD is given and
yet
another FCAD in a further 48 hrs. Of course this is after the regular
postnatal dose of anti-D given as soon as the baby's blood group is
identified (and if it is Rh positive).
marilyn
----- Original Message -----
From: "Andrea Quanchi" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Thursday, October 28, 2004 1:37 AM
Subject: Re: [ozmidwifery] Re:
That was my point and so the woman was given a further dose of Anti D.
Apparently the pathologist has followed up on the issue with CSL but I
have not had the opportunity to talk to him yet
Andrea
On Tuesday, October 26, 2004, at 08:22 , JoFromOz wrote:
Andrea Quanchi wrote:
I had one case recently where pathology decided that there was
enough
remaining that anti D was not required after birth even though she
had
an rh +ve baby.
That could be true, but who knows exactly how much (if any) rh+ blood
got into mum's blood stream. Surely they can't be sure there are
enough anti D antibodies to counteract the possible amount of foetal
blood crossing? I would have thought there'd be a limit on how much
of
the rh+ blood could be combated by a certain number of antibodies.
?
Jo
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