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Rh Incompatibility Management Guide

The document outlines the management of Rh incompatibility in pregnancy, detailing the scenarios based on the presence of antibodies and the need for specialist treatment. It emphasizes the importance of non-invasive tests and retesting at specific intervals, as well as the administration of anti-D (RhoGAM) at designated weeks and under certain conditions. Key actions include monitoring antibody titers and providing anti-D after delivery or specific medical procedures.

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51 views1 page

Rh Incompatibility Management Guide

The document outlines the management of Rh incompatibility in pregnancy, detailing the scenarios based on the presence of antibodies and the need for specialist treatment. It emphasizes the importance of non-invasive tests and retesting at specific intervals, as well as the administration of anti-D (RhoGAM) at designated weeks and under certain conditions. Key actions include monitoring antibody titers and providing anti-D after delivery or specific medical procedures.

Uploaded by

kydghx4s6f
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

R H I N C O M PAT I B I L I T Y

Rh - Rh + Nothing

Non-immune hydrops fetalis:


Antibodies absent
Not caused by Rh incompatibility
Antibodies present
(indirect coombs +) at booking (indirect
coombs -)

Non-invasive Re-test at 26, 32


tests (titre and and 40 weeks
MCA doppler (according to Give ant-D (RhoGAM) at 28 + 34
BANC) weeks (100mcg IMI)
Give anti-D 100mcg IMI once off at:
1. Delivery of Rh+ or unknown
Rh baby within 72hrs
Titre > 1:16 or Titre <1:16, re- 2. If amniocentesis or cephalic
signs of anemia test every 2 version performed
Refer for weeks 3. Significant antepartum Lasts 10
specialist haemorrhage weeks
treatment 4. Abdominal trauma of mother
within 3 days 5. Termination of pregnancy,
miscarriage or ectopic

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