early pregnancy Flashcards
1
Q
What are the indications for Anti D in the first 12 weeks of pregnancy?
A
Surgical TOP Spontaneous miscarriage Ectopic pregnancy molar pregnancy CVS or amniocentesis Uterine bleeding where there is associated abdominal pain
2
Q
What dose of Anti D do you give <12 weeks for a singleton vs a multiple pregnancy after a sensitising event?
A
250 IU
625 IU multiple
3
Q
What are the indications for Anti D between 12 and 40 weeks gestation?
A
APH IUD/Stillbirth ECV CVS/amnio/intrauterine transfusion Ectopic pregnancy Molar pregnancy TOP (medical or surgical) abdominal trauma In utero therapeutic procedures - IUT, surgery, shunts etc
4
Q
when is a kleihauer indicated?
A
after 20 weeks
used to decide the dose of Anti D required
5
Q
What do you do with ongoing PV bleeding beyond 12/40?
A
Continue giving Anti D every 2 weeks
6
Q
What prophylaxis is offered for Rh -ve women?
A
Two dose of 625IU each at 28 and 34 weeks
