Q. I am B -ve and did not take anti-D previously. What test should I take before second pregnancy?

Answered by
Dr. Deepika Joshi Khare
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Jul 04, 2020

Hello doctor,

I am 35 years old and I have a kid of 5 years with normal delivery. I and my first child are of the same blood group (B - ve). I had six week abortion in 2018 with pills, due to some miscommunication I missed taking anti-D. Now I am planning for a second baby. Kindly advise in detail should I undergo any medications or tests before conceiving?

Please note my husband's blood group (AB + ve) and I never had anti-D injection nor after my first delivery or after my abortion.

Dr. Deepika Joshi Khare

Obstetrics And Gynaecology


Welcome to icliniq.com.

Yes, you need to get an ICT (Indirect Coombs test). Since the previous baby is also negative and the abortion you had was with a pill so most likely the test will be negative but do get it done. You can plan pregnancy, but the most important thing you have to keep in mind is that you need to get your ICT at the time of conception and then at 11 weeks then at 20 weeks and then at 28 weeks. If it is negative then you need to take an Anti D 300 microgram at 28 weeks and one after delivery if the baby is positive in the deltoid muscle. If anytime it is positive then the management will differ. Rest of the management will be like any normal pregnancy.

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