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Jam08 View Drop Down
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    Posted: 16 February 2009 at 6:07am
I was just wanting to know hear from anyone with experience or knowledge on rhesus negative during pregnancy.

When would you expect to be told from your midwife and how did it effect your pregnancy?

Is anyone aware of the recent protocol changes surrounding how to treat/deal with this issue?
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CuriousG View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote CuriousG Quote  Post ReplyReply Direct Link To This Post Posted: 16 February 2009 at 6:17am
I am rhesus negative too, all I had to have was the injection after birth (anti D) plus I had a couple during my pregnancy , one due to bleeding and the other after my CVS. I knew I was RH neg already so I informed my doctor then my OB.

And no, I wasn't aware of any changes!

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Post Options Post Options   Thanks (0) Thanks(0)   Quote BugTeeny Quote  Post ReplyReply Direct Link To This Post Posted: 16 February 2009 at 8:47am
I'm Rh-   I had to have the anti-d shot after the birth. But it didn't have any effect on my pregnancy.
I already knew I was Rh- but the maternal bloods you have done at the start of your pregnancy test for your blood type, so your MW/OB will have that info given to them. They will discuss it with you at the earliest opportunity.

I haven't heard of any new protocols. Would be interested to find out though.

*eta: Generally the anti-d is only given when baby is Rh+
Some people have their blood tested a few times during pregnancy to make sure it's all ticking along as it should.

*edited again for spelling

Edited by MamaPickle

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Post Options Post Options   Thanks (0) Thanks(0)   Quote kebakat Quote  Post ReplyReply Direct Link To This Post Posted: 16 February 2009 at 8:54am
I'm rh- and DH is rh+

I had to have anti d when daniel was born because he is rh+ and I had to have it again for my 2 miscarriages as they didn't know what bubs blood type would have been of course.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote .Mel Quote  Post ReplyReply Direct Link To This Post Posted: 16 February 2009 at 9:45am
I had the injection after I had Conor, didn't have to have it with Nyah but did with Cooper as he is R- too. Wasn't aware of any new protocol.

After I had Conor I was given a card that I kept that I just gave to my MW when I was pregnant with the younger two.
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Jam08 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Jam08 Quote  Post ReplyReply Direct Link To This Post Posted: 16 February 2009 at 4:04pm
The reason I asked is that last night my midwife rang me to say that because I am rh neg I would need to make a decision about an anti d injection when I saw her today. Now this was the first I knew about my blood type being rh neg and during the conversation I had no idea what she was talking about, especially when she started saying that the protocol had changed and I was her first rh neg patient since. Well after a sleepless night this is what I understood from my visit today... (Was extremely pi**ed off last night that she hadn't told me earlier)

That midwives are now being encouraged to give all rh neg women anti d at both 28 and 36 weeks as a precaution even if bloods show they have not produced any antibodies. The impression I got is that generally midwives believe this is not necessary. She has to inform us of this but the decision is ours.

Hope that makes sense as this is all new to me. 24 hours ago I hadn't even heard of rh neg!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Aquarius Quote  Post ReplyReply Direct Link To This Post Posted: 16 February 2009 at 8:21pm
thats quite interesting and great timimg as i have MW visit tomorrow morning and can discuss with her.....
i didnt have injection with first but did with num 2 and was expecting it to be the same as usual...
no complications during either preg..which is good news

mum to mr 16 & mr 10
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Chickaboo Quote  Post ReplyReply Direct Link To This Post Posted: 16 February 2009 at 8:32pm
I am Rh- , with baby #1 - I didn't have an anti D as he was RH- too, then #2 she was Rh- too but with #3 I had it twice - 1 when I had an ecv (to turn baby who was breeched - didn't work but just incase some blood from baby did happen and if he was Rh+ they gave me an Anti d) then #3 born and he was Rh+ so I had to have an anti d as well.

reason for anti d is if you are - and baby is + and any + blood got left inside - your next pregnancy your body might think the baby is a foriegn thing and start attacking it - ending in MC.... (I think that makes sense) hence for the anti d.

Note: anti d is a blood product so thats why you have to think about it and give writen permission (signing a form)

Personal choice for me is I wouldn't have the 28 and 36 week cause I have had 3 kids without having it and they were all fine - even having a + baby - and I have never had a MC (and hope never to)


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Post Options Post Options   Thanks (0) Thanks(0)   Quote Muz Quote  Post ReplyReply Direct Link To This Post Posted: 16 February 2009 at 8:59pm
That is a strange protocol - I dont think anyone should be encouraged to have a blood product unless there is a justified need. My first daughter was Rh - so I didnt have it with her, but had two with my second as I bled at 28 weeks and then again at birth as she is Rh +.
Im going to mention it to my MW next week and see why this protocol has been introduced.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Aithne Quote  Post ReplyReply Direct Link To This Post Posted: 16 February 2009 at 11:11pm
Im Rh- and had a bleed when i was about 30weeks. never got an injection though, i also had a fall a couple weeks before then and still no injection.

I think however my MW said i would just get an injection after baby is born and to be a little more cautious about bumping my tummy throughout my pregnancy.

I didnt know the anti-d thing was a blood product .
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Post Options Post Options   Thanks (0) Thanks(0)   Quote james Quote  Post ReplyReply Direct Link To This Post Posted: 17 February 2009 at 6:52am
i am rh- and had 5 anti-d injections due to bleeding good i hate needles and had a sore bum each time too turned out that james was rh- aswell but i recken better to be safe then sorry
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Post Options Post Options   Thanks (0) Thanks(0)   Quote BugTeeny Quote  Post ReplyReply Direct Link To This Post Posted: 17 February 2009 at 8:53am
You had it in the bum? Ouch! I had mine in the thigh.

Yup, it's a blood product. Made from the plasma. It's all screened and tested, so the plasma is "clean".

From what I've since read, it seems that 28 and 34 week injections is common practice overseas.


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Post Options Post Options   Thanks (0) Thanks(0)   Quote Mrs_B Quote  Post ReplyReply Direct Link To This Post Posted: 17 February 2009 at 9:05am
I am O- blood group and had to have Anti-D at the weekend after some spotting. I have done a fair bit of research on this as I work in NICU and deal with consequences of Rhesus incompatibility. Giving Anti-D routinely at 28wks and 34wks is not common practice in NZ although it is in the UK.

Here's a bit of reading for you (bear in mind it's a UK website);

Why do I need Anti-D?

How will my Rhesus status affect my pregnancy?

and if you search the nz blood website for Anti-D there is information on there too.

Edited by Mrs_B
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Maya Quote  Post ReplyReply Direct Link To This Post Posted: 17 February 2009 at 10:30am
We've got an article on the Rhesus factor here. It hasn't been updated yet to reflect the new protocols, but as MamaPickles said it is common practise in many overseas countries for women to be given the anti D as a precautionary measure and certain stages during their pregnancy.

It is a decision you have to make carefully, and being well-informed can help you make that decision. Anti D is a blood product made from plasma so you need to weigh up the risks and benefits associated with that. Your midwife should be able to give you a leaflet from NZ Blood giving you the facts about anti D to help you make that decision.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote DJ Quote  Post ReplyReply Direct Link To This Post Posted: 17 February 2009 at 11:07am
jojo8 I would strongly recommend having the additional jabs. Without them it is possible to become "sensitised" and then you would automatically produce antibodies which would attack a baby during any subsequent pregnancy. This can be very serious - resulting in anaemia (needing intra-uterine transfusion), and other serious complications, including very early delivery. Blood products in NZ are very safe, and it is common practice overseas.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote mishel89 Quote  Post ReplyReply Direct Link To This Post Posted: 17 February 2009 at 8:45pm
im terrified of needles!!i dnt know what to do i would rather be safe but im so scared!i almost cried when i had my blook test
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Post Options Post Options   Thanks (0) Thanks(0)   Quote james Quote  Post ReplyReply Direct Link To This Post Posted: 17 February 2009 at 9:21pm
yep in the bum was quite sore but you just do it
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Maya Quote  Post ReplyReply Direct Link To This Post Posted: 19 February 2009 at 12:03pm
I just thought I'd update with this from our OHbaby! obstetrician, Dr Anil Sharma:

What I do is discuss with Rh - women at 28 and 32-34 weeks offer them anti-d injections as a routine, even if they have not had any bleeding or sensitisation events. The intramuscular injection reduces the likelihood of 'silent' sensitisation from 1/100 to 1/300.

Hope this helps.


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