HomeAnswersObstetrics and Gynecologyrh incompatibilityDo I need to get an Rh injection after my abortion?

Is it necessary to get Rh injection after abortion?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Uzma Arqam

Medically reviewed by

iCliniq medical review team

Published At March 29, 2019
Reviewed AtDecember 7, 2023

Patient's Query

Hi doctor,

I am Rh negative. I recently had an abortion of six weeks and was not given the Rh injection. Is my health status safe to prevent future complications in pregnancies? It has been three weeks since the abortion. Can I still receive this injection?

Kindly help.

Answered by Dr. Uzma Arqam

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern.

Injection anti-D needs to be taken within 72 hours of bleeding. So, it is already late. Most mothers have well-developed immunity against rhesus positive blood group in her second pregnancy if the first child had Rhesus positive blood group. However, antibodies also develop in cases of fetomaternal hemorrhage. Rhesus negative issue arises if your partner is Rhesus negative. So first of all, check the blood group of your partner. If he is negative, then there are fewer chances of the fetus to have a positive blood group, so fewer chances of Rhesus isoimmunization issue in coming pregnancies. To be on the safe side, you can have an antibody titer if your partner's blood group is positive. if your husband has a positive blood group, as per protocol, you will have to receive anti-D at 28 and 32 weeks in the next pregnancy if it remains uneventful. Otherwise, you may receive it for a longer duration. The treatment plan involves maintaining a balanced diet and achieving a normal BMI (body mass index) and weight. The preventive measure is to ensure early booking for the next pregnancy if the husband's blood group is positive, as it allows for better care.

I hope this has helped you. Thank you.

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

Dr. Uzma Arqam
Dr. Uzma Arqam

Obstetrics and Gynecology

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