- RhoGam - - pindi

[ArchivalUser]

27 yr old female, G2P1 comes for her prenatal vist at 20th week of gestation. She is a known D (-) and her husband is a known D (+). She recieved RhoGAM at 28wks and immediately postpartum. However her last pregnancy was complicated by abruptio placenta that did not require a C-section. Pt's latest anti-D antibody titer is 1:35. What is the cause of this positive antibody screen

a. low dosage of Rhogam (anti-D immun globulin) at 28wks
b. no prophylaxis in between pregnancies
c. low dosage of rhogam postpartum
d. no prophylaxis earlier in the pregnancy

[ArchivalUser]

She recieved standard dose of RhoGAM at 28wks during her last pregnancy and immediately postpartum as well.

JUST WANTED TO MAKE IT CLEAR GUYS!

[ArchivalUser]

C--------

[ArchivalUser]

answer is C

[ArchivalUser]

C

[ArchivalUser]

aa

[ArchivalUser]

answer is d

[ArchivalUser]

ccccccccc

[ArchivalUser]

C.

[ArchivalUser]

-correct answer is...C.....

Low dose of RhoGam postpartum results in maternal alloimunization.
Rosette test helps to find if there has a feto-maternal hemorrhage. If it is positive you go on to do the KLEIHAUER-BETKE TEST...this will help us adjust the dose of RhoGam.

so if more blood transfered into mom...more antibody production...and dose of Rhogam goes up....this is how i look at it... if you disagree let me know.