Any midwives/obs/blood/rh- experts? Have had scary letter after birth of ds2 and am panicking.

[pooka]

Hi there

Am rh-. Had ds 2 (third baby) just over 2 weeks ago. Had anti-d antenatally and also postnatally.

Got letter today saying:

"At your recent delivery a blood test was taken which has shown a high level of anti-d in your blood. This is more than we would expect from the prophylactic injection you received at 28 weeks gestation. I think it would be best if we met to discuss this. I am therefore going to send you an appointment to come to the postnatal clinic so that we can discuss this further."

Letter is from the consultant ob/gyn.

It is saturday. There is no appointment in the letter. I am terrified about what this means. Are they worried about ds2? Could he have been/be effected? Is there something wrong with him? Couldn't care less about me, or subs pregnancies, since not having any more children. BUt having been all calm and happy and chilled this time round, am now all panicked that there might be a medical issue with him. I tried ringing the hospital but couldn't speak to anyone who could tell me whether their concern is for me or for ds2. I am assuming (hoping) that since the letter is from ob/gyn rather than paediatric consultant, that is me they need to see rather than ds2, but am not sure.

He has been seen by midwives at delivery, GP the day after. Another GP the week after he was born, another 2 midwife visits and a visit from the health visitor and none have said he appears jaundiced or unwell. Have been signed off by midwives.

Can anybody please please reassure me? Am really upset.

Another update:

Had phone call this morning saying that ds2 needed a transfusion - consultant unhappy about waiting and seeing, which was the initial decision on Wednesday. So arrived at 11am, was allowed to go at 8.30pm. Bloody horrible.

Seems that at some point I developed antibodies which passed into ds2 and started attacking his red blood cells. He's very lucky (touch wood) to have been only affected by having quite severe anaemia. Is likely that the sensitising event happened pretty late in the pregnancy or would have been more serious, it seems. Am feeling rather shocked - had lovely homebirth a month ago and not one person has at any stage suggested until Tuesday that something might be wrong with him. He is now the colour of a tomato as is rather cross and of course has working blood. What I thought was a beautiful complexion was in fact due to anaemia. Now he has colour, you can see the baby acne starting and the scratches from his fingernails. Feel a bit stupid for not having realised, though apparently it has been a gradual progression towards anaemia, so maybe will try and be less hard on self.

Will have a follow up next week. Is having folic acid. If the blood test shows that the haemoglobin still low or not improved will have to have another transfusion. What a rollercoaster......