It wasn't what I had ever done before either. In my previous life for Rh neg mum's at a homebirth we had baby's cord blood for blood group and a direct coombs and mum's blood for a kleihauer becke (indirect coombs). If bub was positive we just gave the anti-d and that was that unless of course mum declined. of course we also only offered the anti-d at sensitising events and/or at 28 weeks after the antibodies test at this time. Now the anti-D is being offered at 28 weeks and 34 weeks: couldbe the brandor new knowledge?
marilyn ----- Original Message ----- From: "Andrea Quanchi" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Friday, October 29, 2004 4:50 PM Subject: Re: [ozmidwifery] Re: > 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 > >>> > >>> -- > >>> This mailing list is sponsored by ACE Graphics. > >>> Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > >>> > >> > >> -- > >> This mailing list is sponsored by ACE Graphics. > >> Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > >> > > > > > > -- > > This mailing list is sponsored by ACE Graphics. > > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
