Rh negative – indication: Maternity, Postpartum

Question 1

What is RhoGAM used for?

Answer 1

To prevent Rh sensitization in Rh-negative mothers

RhoGAM (Rho(D) Immune Globulin) is administered to avoid complications in future pregnancies.

Question 2

When should routine antenatal prophylaxis with RhoGAM be administered?

Answer 2

Around the 28th week of gestation

This is for Rh-negative pregnant women who have not developed anti-D antibodies.

Question 3

What obstetric events indicate the need for RhoGAM administration?

Answer 3

Events that could result in fetal-maternal hemorrhage, such as:
* Amniocentesis
* Chorionic villus sampling (CVS)
* External cephalic version
* Abdominal trauma

RhoGAM should be administered after these events to prevent sensitization.

Question 4

What should be done if an Rh-negative mother experiences vaginal bleeding during pregnancy?

Answer 4

Administer RhoGAM

This is to prevent sensitization during a threatened miscarriage.

Question 5

When should RhoGAM be administered after treatment of an ectopic pregnancy?

Answer 5

Following the treatment of an ectopic pregnancy in Rh-negative women

This helps to prevent sensitization.

Question 6

What is the timeframe for administering RhoGAM postpartum?

Answer 6

Within 72 hours after delivery

This is critical if the newborn has Rh-positive or unknown blood type.

Question 7

Why is RhoGAM important for Rh-negative mothers?

Answer 7

It prevents the production of antibodies against Rh-positive blood cells

This is crucial to avoid complications like hemolytic disease of the newborn in future pregnancies.

Question 8

What is the significance of proactive management with RhoGAM?

Answer 8

It significantly reduces the risk of sensitization

Administering RhoGAM during antenatal and postpartum periods helps in managing Rh-negative pregnancies effectively.

Question 9

True or False: RhoGAM should only be administered after delivery.

Answer 9

False

RhoGAM is administered both during pregnancy and postpartum.