Thanks for your response, Dr. M. I wasn't criticizing the use of Rhogam during pregnancy. I'm always amazed at how protocols change. When I was having babies (1979 and 1981) this was not done routinely, but I think they were starting to talk about it but then not too many years before me Rhogam wasn't even an option! I realize that you are depending on a patient being honest with you, but there are situations-denial etc. where the patient might not even realize she is lying. Or where the risk of being honest too great (of course the patient may not realize by not being honest that the risk to the baby could be even greater.) Rather than take this risk, or risk offending the patient by auggesting that her husband might not be the father, I wondered if it would be acceptable to go ahead and give Rhogam to all RH negative women unless proven (as in baby' blood type) that it is not necessary. I guess the same would apply to an RH negative woman having a miscarriage and has an RH negative husband. I'm not expecting an answer on this, just wondering.
