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Am I sensitized?
I am an Rh Negative mother. I gave birth to my first child and had a Rhogam shot within 72hours after delivery. Then just last year I had a miscarriage but I didn't know that until I bled for about 2 weeks and checked for a PT with positive result. I think I was about 2-3 weeks preggy at that time (but idk really coz I just had my period the previous month). And I'm guessing that the cause of which is because of the medicines I've been taking when I was sick. I never got a Rhogam shot after. Am I sensitized? And I think am now pregnant coz am already 1week delayed but will still check for my PT next week. What will happen to my baby if I'm pregnant? Will I get a miscarriage? Can I have a Rhogam shot as early as trimester pregnancy? Please help. My husband is Rh Positive. But we are wondering why I've got the pregnancy symptoms when we always use a condom.
Thank you,
Jane
Thank you,
Jane
Best Answer
Your response was very helpful, thank you.
I've checked with PT and it's positive. What I'm worrying now is that what if these antibodies attack my baby and will cause miscarriage. I've read in other forums that usually it will be 12weeks to have a miscarriage. I'm so afraid now because I wasn't given a shot and it will still be 28weeks if ever. It might be too late then. I live in the Philippines and I'm afraid there are no antibody screening available here and our technology might not be as advanced as yours. I haven't had talked about my OB yet. My husband's father is a doctor and told us that we may have to terminate the pregnancy to avoid harming my health and the baby's but still have to discuss with my OB about this. I'm really so confused right now coz I have a pending work opportunity that doesn't allow pregnant women.
I've checked with PT and it's positive. What I'm worrying now is that what if these antibodies attack my baby and will cause miscarriage. I've read in other forums that usually it will be 12weeks to have a miscarriage. I'm so afraid now because I wasn't given a shot and it will still be 28weeks if ever. It might be too late then. I live in the Philippines and I'm afraid there are no antibody screening available here and our technology might not be as advanced as yours. I haven't had talked about my OB yet. My husband's father is a doctor and told us that we may have to terminate the pregnancy to avoid harming my health and the baby's but still have to discuss with my OB about this. I'm really so confused right now coz I have a pending work opportunity that doesn't allow pregnant women.
You definitely needed the shot after your miscarriage. As a result, yes you likely do have the antibodies. You need blood work to find out how much is in your body. The shot doesn't actually get rid of the antibodies, nothing will. They stay in your body for the rest of your life. If you get pregnant, it's possible they attack the baby. All of these questions are things you and your doctor should discuss. They'll be able to provide you with the best answers.
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If you are pregnant, they will test you for antibodies during your first bloodwork. If antibodies are found you will be monitored. As Clysta has said, the shot will do nothing for you once you have the antibodies..
If you have antibodies it can cause a variety of issues.. spontaneous miscarriage, blood disorders, etc... This wont necessarily happen. Antibodies get worst with every pregnancy, so your baby may be okay if you are pregnant but the next pregnancy you can expect to have more antibodies and for things to be more risky. It will keep getting worst with each pregnancy and the pregnancy may not be savable. I was told by a couple doctors that generally if you have antibodies, it does not get too concerning for the following pregnancy but it can be dangerous still.. They have alot of technologies that they use to treat it now.. They can do in-utero blood transfusions, etc....
There is really no simple easy answer to your questions and concerns, you will just need to be monitored very closely. As I said, you may or may not be sensitized at this point because it could go either way.. Ideally, you would have wanted to have the shot after your M/C but you cannot change that now.. I hope if you are pregnant, that your antibody test is okay.