mrpessimist Posted May 23, 2010 Share Posted May 23, 2010 I've a woman 0 negative who have an amiocentesis 15 days ago and was profilaxed with 300 mcg RhOgam.She underwent to therapeutical abortion yesterday The titre of anti-D was 1:4. We have not a test for quantification FMH We propose another dose of Rh0 gam Is it wright? Link to comment Share on other sites More sharing options...
AMcCord Posted May 23, 2010 Share Posted May 23, 2010 Better to be safe than sorry. If you cannot quantify FMH, I would give more RhoGAM. Link to comment Share on other sites More sharing options...
Lcsmrz Posted May 24, 2010 Share Posted May 24, 2010 You don't say at how many weeks gestation the termination was performed.In the old days before FMH quantitation, we used the Weak D test to determine if a large bleed had occurred. We missed a few patients back then who should have gotten more RhIg ... Link to comment Share on other sites More sharing options...
adiescast Posted May 25, 2010 Share Posted May 25, 2010 I think another dose of RhIg would be appropriate in this circumstance. It would be hard to justify more than one additional dose without knowing the gestational age and FMH quantification. Link to comment Share on other sites More sharing options...
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