Antibody screens in Postpartum RhIG workups?

[AVANHORN]

AABB Standards requires you to do an antibody screen if you have no record of one during the patient's current pregnancy. It seems silly to do the screen as anti-D is often still detected from the antenatal Rhogam injection. If we would find anti-D and were not sure where it came from, the doctors here would want to give the Rhogam anyways so it seems a waste of our time and supplies to do them. We are no longer AABB accreditated and was wondering if anyone else that is not AABB accreditated has dropped doing the antibody screens.

[bxcall1]

Our policy is that if the mother has not had antenatal RhIg we will do an antibody screen. If they have had RhIg at 28 weeks we delete the ABSC. It took some work with the OB docs, but for several years now they have been sending all of their antenatal Rhogam injections to one of our outpatient clinics. This has turned out to be a win-win situation. The docs no longer have to purchase, store and inject. We get to have an antibody screen at 28 weeks and an accurate transfusion (injection) history.

Edited December 30, 2008 by bxcall1
I forgot to mention.