What tests should be done before pregnancy in a B-ve lady?

Question

Hello doctor,

I am 35 years old, and I have a 5-year-old child delivered through normal delivery. My first child and I share the same blood group, which is B negative. I had a six-week abortion with pills five years ago, 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 that my husband's blood group is AB positive, and I have never had an anti-D injection, neither after my first delivery nor after my abortion.

Answer 1

Hello,

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 injection at 28 weeks and one after delivery if the baby is positive in the deltoid muscle. If it is positive at any time, then the management will differ. The rest of the management will be like any normal pregnancy.

I hope this has helped you. Please feel free to reach me again, in case of further queries.

Thank you.