In Mareeba we also do the Free Circulating Anti D. In Mackay a
Kleihauer test was done an hour after birth and Anti D was given
if baby was positive and the amount according to the estimation
of circulating fetal blood cells. 
Cheers
Judy

 --- Andrea Quanchi <[EMAIL PROTECTED]> wrote: 
> 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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> >
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