To think it is not necessary to test my blood group in my 2nd pregnancy?(50 Posts)
I gave birth to ds just over a year ago, I'm now pregnant with dc2.
I have really hard to access veins, I had a slightly traumatic time whilst giving birth when the midwives, drs and eventually a specially called in phlebotomist struggled for hours trying to get a cannula into my arm, there was blood everywhere, it was much more distressing than the actual birth.
I had my 1st appointment with my midwife yesterday, she looked at my veins and said she wouldn't be able to get any blood so told me to go to a place where they only take blood tests, she gave me all the papers with the blood tests needed.
The tests were:
the blood test for the neucle scan
3x thyroid tests
german measels immunity
It was 6 viles of blood, the 1st person couldn't get any veins to word so someone more experienced had to come in, it was horrible, there was enough blood and I now have a very sore arm. I very nearly fainted.
I don't understand why I need to retake all the tests, the blood communicable deseases tests surely only show that I am not infectious right now but I still have another 6 months of pregnancy, I don't know why they can't take my tests from my 1st pregnancy.
The blood group is just stupid, how is there any chance that has changed!?
Another thing that is anoying me is that if I change my name before the birth I will need to get all the tests redone, we are getting married in the summer we were planning on having a double name, but I think I would rather wait than retake all the tests.
Like others have said not only can you develop odd antibodies but you can change between a positive and a negative for the rhesus status. Rare but it happens.
My abnormal antibody is anti s, people look at me as if I am confused as I also have the unrelated blood clotting condition of Protein S Deficiency. At least having the same letter makes it easy to remember. If I need blood they would have to bike it in from a central London blood bank.
Is it worth putting emla on 1 hour before tests to help with the pain, and holding a heated wheatbag or hot water bottle on your arms to help your veins be as prominent as they can.
If you are rhesus negative you would need Anti D's with every pregnancy as its when the child is rhesus positive that there is a problem. It wouldn't matter if your 1st child is Rh - because the 2nd one may be rh +.
The only way you could be sure if you knew your DH was rh- too and even then, the midwife would still test you as they don't trust your word that your DH is definitely the father. Don't take offense as they treat everybody like this as its easier (rates of cuckoldry vary from around 1% - 5% of the population depending on where and how its been studied).
Also you may have been infected inbetween pregnancies and immunity levels can wane, sometimes mistakes have been made, results lost etc. In in all, its probably easier to just retest for everything.
I always struggle with blood taken from the arm, I am pretty sure my veins see the needle coming and hide..
So now, I always state
very firmly that if blood needs to be taken it comes from the back of my hand.
I am always told that it hurts more, I think having half a dozen holes poked in my elbow is likely to hurt more!
There seems to be an issue of professional competency, as I am in fact doubting their ability to find the vein in my arm. I though am confident after many blood tests that it is a better way.
Classic phrase is I do NOT consent for you to take blood from my arm - at that point they use my hand or I do not have the test done.
And it is worth noting that using my hand they have never failed to achieve the correct amount of blood first time and with little pain.
I too have the 'urgent transfusion' card, in fact three, all different from three pregnancies.
1 RH neg
2 RH pos but with, presumably, strange antibodies needing card
3 RH neg when giving, RH Pos when receiving (or the other way round)
I have always found this puzzling but DSs were fine.
I was A rh-. Now I am A rh- with anti-D and anti-c antibodies. Meant ds2 (third child) was severely anaemic post-natally and required a transfusion, despite my having had all the anti-D jabs ante and post-natally.
Have a card to carry in case I need an urgent transfusion in the future. Would also mean that a fourth pregnancy would be high-risk.
herethere - yes, there is anti M - which is why all women are tested, not just those who are rhesus negative (at risk of developing anti D)
MissYamabuki - being rh -ve and having a rh -ve baby doesn't mean you can't develop any of the other antibodies that cause HDN!
Antibodies not antigens! Gah must sleep.
I'm sure I read somewhere that it is technically possible in rare cases for blood type to change....must be extremely unlikely though!
It isn't only the antigens; they keep the blood and if necessary can use it to check various immunities which may well have changed between pregnancies and which they may need a baseline for for the new pregnancy.
eg. I was exposed to slapped cheek at just the wrong stage in pregnancy for slapped cheek and my GP arranged for my booking bloods to be tested for slapped cheek immunity (thankfully I was immune - and they were amazingly quick doing it: as the blood was already on ice as it were the surgery rang me with the results the next day so I didn't have to worry about it).
I had a plasma transfusion after a secondary PPH after DC1 was born, and my lovely boring O+ blood now has an abnormal antibody in it. This isn't saying that it comes from the transfusion, but that was they only thing that changed.
My DC2 and DC3 were both meant to have their cord blood tested to check that the abnormal antibody wasn't going to effect them, which was forgotten after DC2's delivery (I was a little busy at the time and reminded them too late, despite it being written all over my notes), so she had to have 4 months of blood tests starting day after her birth.
I got funny things in my blood between my 1st and 2nd pregnancies - it was the antibodies thing but not Anti-D. I think it was Anti-M (but I might be getting mixed up with M and Ms )
I hadn't had a blood transfusion previously either but they said it can sometimes be triggered by a virus and it wasn't one of the most serious ones, like anti-D.
It did mean *lots more blood tests - don't know why *I had to carry a special emergency card *I wasn't eligible for a MLU birth as I wasn't low risk - no worries there I wanted a CS! *I couldnt have something like express match/emergency matched blood and I needed mine properly matched in case I had a funny reaction (sorry, bad explanation)
I developed anti bodies in my 2nd pregnancy and had a complicated delivery. Such a small inconvenience having blood taken but the risks if you don't could be enormous.
I queried this (I've got an 11 month gap between my kids) and got the sheepish look from the midwife of "oh, I can't find your results anywhere on the system from last pregnancy so let's just add in that one to the bloods I'm doing since I'm jabbing you anyway"
She sounds crap saying that but my MW was lovely really.
The test that I really wanted was chicken pox immunity, my dm can't remeber if I have had it or not, if I am not immune I will get ds vaccinated. I have to meet with a Dr to discuss this as it could be too expensive (I don't expect them to pay for the vaccination, just the test to see if I am immune).
westie Possibly different areas have different rules, I have 2 friends who had to also have the MRSA test due to visiting UK hospitals, we all had different midwives in different parts of the city. Ds has a double last name just without the hyphen, both my last name and dp's last name are his official last names (on prescriptions, official letters and on his passport) he also has 2 middle names which are not on his prescriptions and official letters.
Am with you ikea!
Booking appt with this.pregnancy:
Midwife: we need to take your bloods to find out your blood group
Me: it's not changed since my.last pregnancy
Mw: <blank stare>
Me: it's a rhneg, had antid during 1st pregnancy, DD is rhesus neg too so.no sensitisation etc
<Look it up on mynotes ffs>
Blood was taken. During next visit midwife announces importantly:
your blood group is a rhesus neg, you will need to have antid.
A waste of time and resources in my case
It is, but there's nothing much you can do if you find out your rubella immunity has waned once you're pregnant, is there?
My rubella immunity wore off between pregnancies. Apparently it's quite common!
I had the MRSA test when expecting DS. In Sweden it's done if you have had surgery or given birth in a hospital abroad, not for visiting a GP. You midwife sounds rather over enthusiastic.
As a complete aside, Swedish naming laws forbid double barrelling surnames. You can add the other surname as an extra middle name but they only allow doubl barrel names if they pre-existed moving to Sweden (and then only because one of the European courts said they had to.)
Very glad PFB is a rhesus neg like me!
I can see why you're frustrated. I felt like a pincushion by the time DS was born. Blood tests blood tests to check hormone level TTC, blood tests fertility clinic, IVF injections and sometimes daily blood tests, sometimes midwife and ob taking blood tests for same things during the pregnancy, anti D tests and jabs. My midwife was so bad at taking bloods I nearly passed out once or twice despite being a pro with needles by that time.
It sounds like it's really horrible for you poor thing.
Frustrating that they might repeat things too. But I guess we are lucky to have access to this healthcare. 80 years ago they didn't know about this blood type problem and my grand mother said in hindsight she was suspicious rhesus disease had taken the life of her newborn sibling.
It will be partly to cover themselves. Imagine, god forbid, they'd made a mistake the first time and you needed a transfusion. They'd be in a lot of trouble for relying on an old test. The transfusion people have very tight guidelines.
soap yes they got blood group wrong and didnt get anti d , it wasnt till i had 2nd dd they noticed the mistake.
Sorry IKEA - I'm guilty of assuming everyone's in UK and using NHS.
Why on earth is it such a big deal? It ensures that you get the correct blood type (which, very rarely, can change if you have a donor BMT for example, as unlikely as this may be) and it's one extra vial. It checks the anti bodies and presumably reduces scope for human error.
So yes, you're being unreasonable. Stick your hands under warm water before getting blood taken though, that might help.
Yes I developed 2 relatively rare antibodies in my second pregnancy despite never having had a blood transfusion. I declined the sender on rubella and Hiv test though.
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