Rhesus D

Question 1

When do you normally give anti-D

Answer 1

Week 28, or can give two doses at week 28 and week 30
and also post natally

Question 2

List sensitising events

Answer 2

Ectopic if managed surgically
TOP
Molar pregnancy
Bleeding
IU Death

Question 3

When do you need to do Kleihauer test?

Answer 3

Only if after 20 weeks to determine if you need more anti-D

Question 4

What happens post natally

Answer 4

Check baby’s blood via umbilical cord or heel prick
do Kleihauer test
Administer 500IU anti-D

Question 5

In a previously sensitised woman, what do you do

Answer 5

Check anti-D levels every 2-4 weeks from booking
If levels rise, do an MCA doppler and check for foetal anaemia
if foetal anaemia, give foetal transfusion to avoid risk of haemolytic disease of fetus and newborn, and also jaundice and kernicterus