fletob

Weekly ultrasounds and nst thru biweekly appts. Most recent ultrasound showed no signs of hydrops or any other issues thankfully, aside from 1.7 MoM, next day another ultrasound MoM dropped to 1.3. Could need IUT Between now (32 weeks) and 34 weeks depending on how these numbers change, after that will just induce if needed, will be induced before 37 weeks for sure at Mfm hospital with nicu. Re-ran titer - 1:256 (said they don’t dilute further beyond this). Given it was negative at 13 weeks, they have no idea how it happened given it was previously negative and no reason for it to have ever been positive. MFM said I’m only the second he’s ever had to have this in a first pregnancy. Doc said lab that ran the original bloodwork has changed their procedures bc of this case, so that is good!

Since they have given rhogam since the original sample will taking another sample tell them anything? Or will they have to do multiple to compare?

I am the patient in this case. Rhogam was 100% given after the blood was drawn and had never been given before that day.

Thanks! That makes me feel better. Of course when I google everything about severe brain damage and death comes up so it is terrifying. I definitely did not mean to insult all lab professionals. I just know a lab professional in the area where I live (super rural USA) who frequently complains about his coworkers messing up their work and he has to fix it. I was also questioning maybe it was a mixup just because it didn’t make sense for it to happen at this time and it looked like they didn’t read that the shot was given after, not before, given that was what they attributed it to in the note on my chart. Along with the doctor saying they should have done a titre but never did. Things just weren’t adding up overall. I know there’s always at least that “one” person in any profession, haha, at least in my field there is. If I were generalizing to all lab techs I wouldn’t be reaching out to them on a message board. Haha I had heard of rh negative and positive. But I have never heard of MNS before. What is this blood group responsible for? I have no idea if it is relevant or not but I have had past positive ANA tests, which I just attributed to my body being weird because of having Ehlers Danlos Syndrome since things like early onset arthritis are common with that. (Actually my joints have been 10x better while being pregnant )

Now there is another note in my chart referring to Antibody S? What is the difference between Antibody S and Antibody D? Is one worse than the other?

Thanks for the response! I read about weak d so didn’t know if that could be a cause for the result or even a possibility. They are considering it a rare occurrence. The rhogam was 100% given after the blood draw and had never been given to me before. This doctor seems very experienced but I will see at the ultrasound if mfm is also as concerned. Can they do an accurate titre now since the rhogam has since been given? It was 100% given right AFTER the blood draw? What I also find interesting is with how rare this is to begin with even for a second or third pregnancy was that the doctor mentioned having 2 other patients with the same issue of already being rh sensitized prior to receiving Rhogam. Could the lab have just messed the results up?

Posted 1 minute ago Help make sense of possibilities and if this is something to be of concern or not or if it could be a false positive: first pregnancy due in August - no previous miscarriages no blood transfusions etc. 2011 college class - did a lab and blood type was A+ (could have easily messed this up) feb 2020 pregnancy appt tested A- and negative for antibodies (13 weeks pregnant) June 2020 pregnancy appt tested A- but positive for “Passive anti D” antibodies (29 weeks pregnant) NOTE: doctors are super concerned and sending for ultrasound. Lab just assumed the result was expected because RHOGAM was given the same day BUT rhogam was given AFTER the blood was drawn So WAS NOT A FACTOR. Docs were waiting on a report of the titre but the lab never ran it. They said that because they already gave rhogam they couldn’t accurately get a titre now if the redid the blood draw. Rhogam was never given before in patients life. No history of any trauma, no accidents... everyone is confused. Please help make sense of this, it is driving me crazy.

Help make sense of possibilities and if this is something to be of concern or not or if it could be a false positive: first pregnancy due in August - no previous miscarriages no blood transfusions etc. 2011 college class - did a lab and blood type was A+ (could have easily messed this up) feb 2020 pregnancy appt tested A- and negative for antibodies (13 weeks pregnant) June 2020 pregnancy appt tested A- but positive for “Passive anti D” antibodies (29 weeks pregnant) NOTE: doctors are super concerned and sending for ultrasound. Lab just assumed the result was expected because RHOGAM was given the same day BUT rhogam was given AFTER the blood was drawn So WAS NOT A FACTOR. Docs were waiting on a report of the titre but the lab never ran it. They said that because they already gave rhogam they couldn’t accurately get a titre now if the redid the blood draw. Rhogam was never given before in patients life. No history of any trauma, no accidents... everyone is confused. Please help make sense of this, it is driving me crazy.

Help make sense of possibilities and if this is something to be of concern or not or if it could be a false positive: first pregnancy due in August - no previous miscarriages no blood transfusions etc. 2011 college class - did a lab and blood type was A+ (could have easily messed this up) feb 2020 pregnancy appt tested A- and negative for antibodies (13 weeks pregnant) June 2020 pregnancy appt tested A- but positive for “Passive anti D” antibodies (29 weeks pregnant) NOTE: doctors are super concerned and sending for ultrasound. Lab just assumed the result was expected because RHOGAM was given the same day BUT rhogam was given AFTER the blood was drawn So WAS NOT A FACTOR. Docs were waiting on a report of the titre but the lab never ran it. They said that because they already gave rhogam they couldn’t accurately get a titre now if the redid the blood draw. Rhogam was never given before in patients life. No history of any trauma, no accidents... everyone is confused. Please help make sense of this, it is driving me crazy.