I am 34 weeks pregnant. Can I take anti-D injection now?

Question

Hi doctor,

I am 34 weeks pregnant and I have not taken the anti-D injection. I am A negative and my husband is O positive. When and how can I take it now?

Answer 1

Hi,

Welcome to icliniq.com.

A mother with a negative blood group and a father with a positive blood group can give a child with a positive blood group and immunity develops in the mother's blood that can cause hemolysis in the child's blood in the case of fetomaternal hemorrhage. In this scenario normally, anti-D has to be given to the Rh-negative mother at 28 and 32 weeks in addition to a hemorrhage if she has one or if the antibody titer is high on the blood test.

It would be better if you would describe your complete obstetrics and gynecology report, menstrual history, and medical history. It is better to have an antibody titer and discuss your situation with your obstetrician. If this is the first child, it is not a big issue, but if you have a child, then you need immediate attention as there are antibodies present. In case of any bleeding, you need an immediate anti-D injection. Baby's blood has to be checked immediately after birth. If you are not getting the anti-D injection, the baby can have hemolysis, anemia, low birth weight, and jaundice.

I hope this helps.