Anti D Flashcards
1
Q
Who should be given Anti-D
A
Non Sensitised Rhesus -ve Mothers
2
Q
What situations do anti-d need to be given in an emergency
A
- Delivery of Rh+ve whether live or stillborn
- TOP
- Miscarriage >12 weeks
- Ectopic (unless medical mx)
- ECV
- Antepartum Haemorrhage
- Amniocentesis, Chronic villous sampling, Fetal blood sampling
- Abdo trauma
If the event is in the 2nd/3rd trimester give large dose anti D and do a kleihauer test.
3
Q
Tests for Babies born to Rh -ve mothers
A
Cord blood tests for FBC, Blood group, direct coombs test
4
Q
Coombs Test
A
Antibodies on RBC of baby
5
Q
Kelihauer test
A
acid dropped on maternal blood, fetal cells resistant
6
Q
Signs of affected fetus from anti D haemolysis
and mx
A
Oedematous Jaundice/anaemic hepatosplenomegaly HF Kernicterus
Transfusions and UV phototherapy.
