gagpinks

Hi I am planning to do Higher specialist diploma run by IBMS ( UK members ) Is anyone doing or has already done this course ? I would be much appreciated if someone can give tips and guidance on this course. Thanks in advance

If you have 70% of population E neg and 14% E neg c neg, that's mean most of your patients are R1r. I would prefer to perform Rh phenotype on patient, if patient is c pos, There is no need to provide E neg c neg blood. If patient has anti-c than you have to provide c neg E neg blood, it's very difficult to find unit which is c neg E pos.

Our klehuier test is screening test, if more than 2 ml fetal cells seen we send sample to reference lab for quantification. I think when there is screening test CV wouldn't not be helpful.

Agree with you!

Hi Malcolm Sorry about using wrong terminology , and yes I would love to learn from you. We arre monitoring this lady as per guidelines. It was just thought came in mind because she developed anti-c during pregnancy. We have performed antibody identification at room temperature and it was reacting strongly 4+( anti-c).

We have patient who has developed anti-c at 30 weeks gestation.Her antibody screen was negative at 28 weeks and her bloos group is B RhD positive . Sample sent to reference lab for titre and it was 15 and at 34 weeks her titre gone up do 20 iu/ml. Since she developed anti-c her her reverse group is reacting with B cell 2+ or 3+. Do you think it's because of anti-c is IgM in nature. If that the case, Will it casues severe HDFN? Thanks

Yes first time heard. We have 2 remote fridge one in maternity and one in theatre for emergency o neg and recently we had UKAS inspection but they didn't raise any NC. In fact they actually went to examine both remote fridge.

If baby'sDAT is negative and mother antibody screen is negative at the time of birth or within 72 hours. There is no need to perform antibody screen on baby sample and that result is valid for up to 4 months.

Hi everyone We recently had a UKAS inspection and they have raised NC on not performing measurements of uncertainty on Kleihauer test . Does anyone had any experience on performing MU. what data do we need to collect to perform MU ?

We have Lab cold freezer since last 4 years and so far there is no problem .

Yes I agree!! This is how I found about this website and I just loved it

Thanks Malcolm Enjoy your holiday! !!

Hi, everyone Are there any guidelines that we are following about providing HEV neg blood ?

I only found out today that you can enhance reverse group reaction by enzyme treated cell but when you perform reverse group with enzyme treated cell wouldn't it pick up other antibody?

Did you incubate at 37? Did you consider clinical conditions?

We also got NC for not using NIBSC for comparison in our recent UKAS inspection. As far as I know they recommend twice a year.

This is what I exactly understood. If antibody screen is positive at 28 weeks and also if lady has sensitizing event prior to 28 weeks we always send sample to measure titre regardless of the strength of reaction.

She is really really weak Rh D positive. Should we have to give anti -D?

We haven't changed technology but yes she is R2r. In terms of prophylaxis should we class as a Rh D negative or Rh D weak positive?

Hi We had antenatal patient where her Rh D status was negative at booking blood. She was also Rh D neg in her first pregnancy. Now we received dsample where is reacting as a weak D positive we received 3 subsequent sample to exclude WBIT. Sample sent to reference lab and reported as weak D positive. It is confirmed by reference lab weak D positive not partial D. We have nearly 10 historical group where she was Rh D neg. How could it be changed.?

Yes her antibody screen was negative at 12 weeks. There is little bit confusion about new guidelines. Sometimes we get report from ref lab no further sample required in this pregnancy. If this is the case do we have to measure upto delivery?

Thanks Malcolm.!!

Yes she was negative prior to her first injection.

Opps!! posted twice. Much appreciate if you reply on 1st posy. Thanks

Hi How often do we have to measure antiD level if women has any sensitizing event prior to 28 weeks. At 28 weeks her antibody screen will be positive due to prophylaxis anti-D. Do we always have to treat same as allo antiD (measure every 2 weeks) eventhough we have a antiD record .