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My daughter, age 31, who carries the Rh- factor, A- blood ...


Sent to Health Experts December 08, 2007 10:24 a.m.

My daughter, age 31, who carries the Rh- factor, A- blood type ( which she inherited form me), just had a misscarrage (1st pregnancy) during the first 3 weeks. The hospital did not give her the gamma globulin shot and her gyn after realizing this - aprrox. 3 days later administered it to her. My husband is also Rh- (very odd occurence I know). She is hysterical she may never have children. How can I console her?

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Female, Age: 61, New York

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Answer
December 08, 2007 11:10 a.m. (46 minutes and 43 seconds later)
REPLIED Check Mark

Hello Customer (name blocked for privacy),

Welcome to Just Answer.

Rh incompatibility occurs only if the mom is Rh negative and her baby is Rh positive.

It does not occur if mom is Rh positive and her baby is Rh negative.

In most cases the mom will not be exposed to the baby's blood until she gives birth.

However, large amounts of the baby's blood often leak into the mother during delivery.

If you are Rh negative, the next Rh-positive baby you have could have problems if you have developed antibodies.

HOWEVER, this complication of pregnancy has not occurred often since the discovery of Rh-immune globulin (also called RhoGAM).

RhoGAM can prevent sensitization.

It is given to an Rh-negative woman shortly after every delivery, miscarriage, or abortion.

With its widespread use, Rho(D) Immune Globulin Rh disease of the fetus and newborn has almost disappeared.

It has been estimated that with its use a perinatal mortality of about 10,000 cases per year in the US alone has been largely eliminated.

The idea underlying RhoGAM is if anti-Rh antibody is given soon after delivery, it blocks the sensitization of the mother and prevents Rh disease from occurring in the woman's next Rh-positive child.

RhoGAM is now given routinely to Rh-negative women after pregnancies in which they carried Rh-positive fetuses to prevent the mother's immune system from reacting to the Rh-positive blood of any subsequent fetus.

In short, the RhoGAM that your daughter received will prevent any problems with an Rh incompatibility in the next baby.

Your daughter received the rhogam in the correct time frame ( no longer than 3 days).

Because she was only 3 weeks along there was minimal blood exposure.

It also depends too if the babies father is RH+.

If he is negative too then so would the baby. ( As you and your husband found out with your daughter).

This will not cause infertility problems.

I am RH- too and have 3 children and recieved rhogam with all of them.

Most women have at least 1 miscarriage in the lifetime but many don't even realize it because it happens so early on.

Best wishes to you all and I am sorry for your loss.

If you have more questions please let me know.

~Macy



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1 Other Expert Agrees with this!

PictureMacy RN  -- Nurse (RN) -- 100% Positive Feedback on 694 Health Accepts
RN of 17years.Experienced in ER, Critical Care, Surgery, Nutrition, Peds,OB/Gyn.
7/9/2008 to 7/16/2008
Reply to Macy RN
Sent December 08, 2007 11:19 a.m. (8 minutes and 28 seconds later)

Is there a test proving the gomma globulin was given soon enough. My daughter sarted bleeding and cramping on a Saturday night but didn't pass any clots until Monday. She was given the shot Thursday am. soon enough?
Customer (name blocked for privacy)
Answer
December 08, 2007 11:39 a.m. (20 minutes and 31 seconds later)
ACCEPTED Check Mark

Hello again.

Thank you for your reply.

Your daughter will need to talk to her doctor about that.

That is a fine line on when her bleeding started and passing the clots.

Remember though that the baby could have been RH- and then there would be no worry.

Were they able to test the fetal tissue?

~Macy



__________________
Please ACCEPT and leave POSITIVE FEEDBACK so I may get credit for my work.
A BONUS is so appreciated!!!
PictureMacy RN  -- Nurse (RN) -- 100% Positive Feedback on 694 Health Accepts
RN of 17years.Experienced in ER, Critical Care, Surgery, Nutrition, Peds,OB/Gyn.
7/9/2008 to 7/16/2008

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