Anti-D guideline Flashcards
1
Q
What are some examples of potentially sensitising events?
A
Amnio, CVS
APH
ECV
Abdominal trauma
ectopic pregnancy
IUD/SB
evacuation of molar pregnancy
TOP
intrauterine therapeutic interventions e.g. laser, surgery, shunts)
IO cell savage
Delivery (any type)
2
Q
Initial anti-D dose before 20w?
after 20w?
A
<20w 250iu
>20w 500iu
3
Q
What dosage of anti-D when cell salvage blood returned?
A
1500iu
And re-test maternal blood 30-45mins after infusion
4
Q
When is follow up after anti-D required?
A
When FMH is >4ml, follow up blood test needed 48h post IV anti-D and 72h post IM anti-D to see if further anti-D required
5
Q
What should you do if there’s continual uterine bleeding (and other conditions excluded)?
A
Anti- D Ig should be given every 6 weeks and blood tests for FMH every 2 weeks
6
Q
A
