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Discrepant D typing results


Dar

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  • 2 months later...

I have a book... Guidelines for Prenatal and Perinatal Immunohematology, published by the AABB that actually states "Only when prenatal tests for Rh are unequivocal and clearly reactive (>/= 2+) should the woman be considered Rh-positive." For this reason, we do not do weak D testing on mothers, only the infant, and the mothers get Rhogam if indicated.

I tend to run into problems with the State Lab which still considers all weak D patients to be Rh positive. They do a lot of our OB patients during prenatal care so every now and then we get that one patient that is "Rh Positive" yet we call her "Rh negative" and she gets Rhogam provided she meets all other criteria. I tried to consult with the director of the State Lab but she basically called me an idiot so that conversation ended quickly.

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