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asked Apr 22, 2021 in Baby Health During Pregnancy by Toyin14
I am rhesus negative while my husband is positive. Despite a previous abortion and not taking precautions, such as the rhogam injection to prevent antibody formation, I am now concerned about the well-being of my baby. With my first appointment with my OB approaching, I am feeling scared and anxious. What should I expect and how can I ensure a healthy pregnancy?
Artificial Intelligence Health Assistant's Answer

Rhesus incompatibility occurs when a mother is Rh-negative while her baby is Rh-positive. This can lead to complications if the mother's blood comes into contact with the baby's blood during pregnancy or delivery, causing the mother's immune system to produce antibodies that attack the baby's red blood cells.

If you have had a previous abortion without receiving the rhogam injection, it is important to discuss this with your OB during your upcoming appointment. They will be able to assess your situation and provide appropriate guidance.

During your appointment, your OB will likely perform tests to determine if you have developed antibodies against Rh-positive blood. These tests may include an indirect Coombs test or an antibody screen. If antibodies are detected, further monitoring and interventions may be necessary.

To ensure a healthy pregnancy despite rhesus incompatibility, there are several steps you can take:

  • Receive Rhogam injections: Going forward, it is crucial to receive Rhogam injections at specific times during pregnancy and after delivery. These injections help prevent antibody formation in case of any potential mixing of blood between you and your baby.

  • Regular prenatal care: Attend all scheduled prenatal appointments so that your healthcare provider can closely monitor both you and your baby's health throughout the pregnancy.

  • Ultrasound monitoring: Regular ultrasounds may be recommended to check for signs of fetal anemia or other complications related to rhesus incompatibility.

  • Amniocentesis: In some cases, your OB may recommend amniocentesis to assess the severity of fetal anemia or other complications. This procedure involves taking a sample of amniotic fluid for testing.

  • Consult with a specialist: If necessary, your OB may refer you to a maternal-fetal medicine specialist who has expertise in managing high-risk pregnancies and rhesus incompatibility.

    Remember, every pregnancy is unique, and it's important to discuss your concerns and fears with your healthcare provider. They can provide personalized guidance and support throughout this journey. Stay positive and take comfort in knowing that medical advancements have greatly improved outcomes for babies affected by rhesus incompatibility.

  • 3 Answers

    0 votes
    answered Apr 27, 2021 by anonymous
    Relax,try and stay positive.getting worried or worked up will not solve anything right now,also talk to your doctor and express your concerns.
    0 votes
    answered Apr 29, 2021 by anonymous
    Hi there!! I was an O+ baby with a O- mom,  she got the shot (30 yrs ago) & it worked to protect me,  and I'm sure it is much more successful + healthy now! You & baby will be just fine! 
    0 votes
    answered May 1, 2021 by Mommakat
    I'm O- and the father is A+. I have had my RogHam shot and will get a other after delivery. I'm currently almost 33 weeks and everything is fine. 

    Try not to worry or read to much in to it. All you will do is scare yourself, now days it's very common and you should definitely e okay. Tm. To your doctor and express your concerns. 

    Good.luck! 

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