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Is second pregnancy safe in Rh negative mother after anti-D injection?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My blood group is O +ve and my wife's is O -ve. Our child was born four years back and he is O +ve. After his birth, my wife was given an injection to avoid future complications arising due to opposite blood groups of my wife and son. Two years later, she had an abortion. The pregnancy was 45 days old. After this, above injection was not given. Please advice, if it is safe to go for a pregnancy. Also, please advice, if there are any tests to ascertain the risk and medications to avoid the same.

Answered by Dr. Neha Rathod

Hi,

Welcome to icliniq.com.

As she has received injection after first delivery, there is nothing to worry about. So relax and do not worry. However, if you have a doubt then get an indirect Coombs test to make sure that there is no risk. The miscarriage could be because of some other cause and not because of negative blood group, as she has already been given anti-D. In case you are planning for pregnancy, get started with folic acid supplements.

Patient's Query

Hello doctor,

I have noted that the injection after the first pregnancy will take care of the risk. We were worried because the injection was not taken after the second pregnancy (aborted). We will go for the indirect Coombs test as you suggested, to be sure.

Answered by Dr. Neha Rathod

Hi,

Welcome back to icliniq.com.

Take care.

Answered byDr. Neha Rathod

Medically reviewed byiCliniq medical review team

Published At March 26, 2018
Reviewed AtJuly 26, 2023

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Neha Rathod
Dr. Neha Rathod

Obstetrics and Gynecology

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