Rh - women: Anti-D at 30 weeks?

[DomesticG0ddess]

I am now 32 weeks and I missed this as the vaccine at 30 weeks as it had been sent to the wrong hospital when I went to my app, and I then went on holiday. I had the jabs after DS was born, and during that pregnancy. I have read that the vaccine at 30 weeks is not necessary unless you are in the 1% of women who have silent bleeds from the placenta, because if you had any noticeable bleeds/accidents, you would go straight to the hospital and have some anti-D. I wasn't keen on having the injection anyway, I guess that anything avoidable should indeed be avoided and I should just go and get it done.

But has anyone not had the anti-D at 30 weeks?

I think you shoudl book yourself an appointment with your gp not the midwife and ask for some advise on this and for some choices of what you can do for you and baby.

Whether this is to hnot have anti- d now but after baby is born etc and write down the questions you want to aks and the bits you want explaing.

Then you will have advise for you and only you against your notes.

they dont currently screen for hep c. this is what scared me.

Pooka - consultant talking rubbish - anti-D is a blood product and is issue via blood transfusion lab. Also has tracker information for who has received it.

You situation is a strange one. Blood is taken prior to anti-D administration to screen for any antibodies. I wonder what they showed. I have seen results be missed so you never know. Doesn't affect the outcome however if I were you I probably would be nosey and want to know if that had happened.

Thought was blood product. Said so - but now I recall was actually at booking in that the midwife said wasn't. Not consultant. Was the same midwife who urged me to have anti-d when I expressed my reservations...

Do you think it would be possible for me to find out what might have happened, Mears?

When all is said and done, ds2 is healthy and for that I am exceptionally grateful. But I think it might help if I knew what on earth happened. But I don't want any HCP to think I am looking to attribute blame or am after any repercussions if there was human error.

It is perfectly reasonable for you to ask to meet with a consultant to go over you blood results with you and explain it. It is important for you to know what implications there are for any future pregnancy.
Although the outcome will not be changed, it would be good to know when antibodies appeared. You could either make an appointment or write and ask.

Hi there, I found out during my first pregnancy at my routine blood checks that I am rh- and was given the anti D injection and 30 weeks and another one before I left the hospital when the baby was born. I had a silent bleed as my placenta ruptured at some stage during labour and therefore both myself and DD needed a top up transfusion. During my 2nd pregnancy with my DS blood rountine check at 9 weeks showed I had anti D and anti C bodies in my blood therefore I never got the anti D injection as the anti bodies were already developed, outcome being my DS was delivered through emergency csection at 34 weeks as blood check revealed he was severely anemic in the womb. He was in intensive care for 2 weeks as he needed blood exchange transfusion which is very rare, doctors said they do maybe 2 year in their hospital. It's where they literally remove baby's blood with one tube while replacing it with good blood through another. DS had severe jaundice and underwent very intense phototherapy for weeks. He is now 14 weeks and thriving and sleeping all night. He is a very happy, smily and content wee boy. Doctors advised no more children as risk with each pregnancy gets higher and not so lucky each time.

Hi Mears- how did you know at 37 weeks you had antibodies? What prompted you to test exactly then?

First pregnancy - midwife also took blood from my husband and confirmed his blood type (positive of course!) and after that I had the Anti-D when it was offered. My DC1 was born with rh+ blood group.

Second pregnancy - I had a blood test to check the baby's bloody type (positive of course!) and so I have had the Anti-D when offered.

I personally felt the risks of having the injection were small and outweighed by the risks of not having it. It's a very personal choice though.

This thread is from 2010 so I doubt the original posters are around to answer questions, you’d be best starting your own thread with any new questions.