Further to the discussion about anti-D, I was in clinics today and the subject came up. Woman was Rh - and partner was also Rh -. Dr was happy for her to skip anti-D. After she left he explained that in many instances they give it anyway. He said that the Blood typing system in common use is not entirely accurate and that there can be a partially expressed Rh + that reads as a negative. If this is the case, baby can still be Rh +, despite parents both being negatives. I had not heard of this before. Lindsay
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of G Lemay Sent: Friday, 29 July 2005 4:01 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Rh anti-D Yes, mistakes can be made by hosp labs on the blood typing of the newborn. Happened to me. Two neg parents, first child neg. Normally I wouldn't have even checked the bld type of the 2nd child but the parents wanted the ABO group. Monogamous couple. Had to beg to have the lab check again. Turned out they had made an error. Big apologies. Started me wondering how many other mistakes are made. Now, I buy Eldon Cards to type the Dad and newborn myself at home. It's really pretty easy and these little kits make it idiot proof. They cost about $8 Canadian and are well worth it. The hosp labs are a second confirmation after we do testing at home. Also, I hate to get into this because it gives me a headache but I was corrected by a student about the idea that Rh neg is recessive. She did a wonderful, brainy presentation to the class to demonstrate that Rh neg is dominant. I'm sorry I can't duplicate it, but think about it. Two Rh neg parents always have Rh neg offspring but two Rh pos parents can have an Rh neg child. Gloria leanne wynne wrote: > Rh neg is recessive so in order for someone to be Rh neg blood group > they must possess 2 x Rh neg genes - one from each parent. If somone > is Rh pos it is possible for them to carry either a positive or > negative recessive gene. I hope that makes sense? > Leanne. > >> From: "Fiona Rumble" <[EMAIL PROTECTED]> >> Reply-To: ozmidwifery@acegraphics.com.au >> To: <ozmidwifery@acegraphics.com.au> >> Subject: Re: [ozmidwifery] Rh anti-D >> Date: Wed, 27 Jul 2005 12:57:37 +1000 >> >> Both parents must have had one gene for each Rh typing and passed on >> their recessive gene so that bub got two copies of positive and >> therefore was positive???? >> Regards >> Fiona Rumble >> ----- Original Message ----- >> From: Susan Cudlipp >> To: ozmidwifery@acegraphics.com.au >> Sent: Wednesday, July 27, 2005 12:45 PM >> Subject: Re: [ozmidwifery] Rh anti-D >> >> >> At the risk of sounding stupid, I remember a couple who were both >> Rh-ve and >> yet their baby was Rh+ve. >> Now was this a case of 'Father unknown' or a mistake, or is it >> possible for >> this to happen? >> Both partners seemed quite sure that the parentage could not be is >> question >> by the way! >> >> I'm also Rh-ve and have had 3 bubs, one of whom was >> -ve. I had several risky episodes during the course of these >> pregnancies:- >> small APH, attempted ECV (failed), Chorionic villus testing, >> Elective C/S >> (no 1), 2 VBAC's, and a retained placenta with MRP(3rd). As I am a >> blood >> donor (or used to be) I know that I never developed antibodies, >> although I >> did have anti-D at the appropriate times following potential risks >> - except >> for the APH and ECV attempt. >> >> Quite apart from the moral rights and wrongs of giving anti-D during >> pregnancy, it causes us no end of headaches in our busy ante-natal >> clinics. >> We are not allowed to keep a stock as it is 'too precious' to place >> into the >> hands of midwives ( who might presumably throw it away or sell it >> on the >> black market??) So we have to go through a complicated ordering >> process >> which takes time away from our clients, and increases our work load >> - I hate >> it! >> As to the seemingly generous supply of Rhogam - where does this >> come from? >> While it was less available we were only giving the 28 & 34 week >> doses to >> primips, now apparently there is enough for multips too. >> Sue >> "The only thing necessary for the triumph of evil is for good men >> to do >> nothing" >> Edmund Burke >> ----- Original Message ----- >> From: "Naomi Wilkin" <[EMAIL PROTECTED]> >> To: <ozmidwifery@acegraphics.com.au> >> Sent: Tuesday, July 26, 2005 4:20 PM >> Subject: Re: [ozmidwifery] Rh anti-D >> >> >> >I had this experience! I am Rh neg and so is my hubby. I was >> told I would >> >still need to have anti-D during pregnancy. Although the doctor >> never >> >stated that my husband may not have been the father of my child, >> that's >> >what was implied. I refused and thankfully was saved from any >> further >> >harassment as I had my beautiful baby at home. >> > >> > Naomi >> > >> > >> > >> >> >> >> >> >>Funnily enough, we are not allowed to test the partners of Rh neg >> women to >> >>see if they are negative too, thus ruling out the necessity for >> giving >> >>Anti-D, because apparently we can't trust women to be truthful >> about the >> >>father of their baby!! >> >> >> >>Sally >> >> >> >> >> > >> > >> > >> > -- >> > This mailing list is sponsored by ACE Graphics. >> > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. >> > >> > >> > -- >> > No virus found in this incoming message. >> > Checked by AVG Anti-Virus. >> > Version: 7.0.338 / Virus Database: 267.9.5/58 - Release Date: >> 25/07/2005 >> > >> > >> >> -- >> This mailing list is sponsored by ACE Graphics. >> Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > > > Leanne Wynne > Midwife in charge of "Women's Business" > Mildura Aboriginal Health Service Mob 0418 371862 > > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.9.6/59 - Release Date: 27/07/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.9.8/61 - Release Date: 1/08/2005 -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
