HomeAnswersObstetrics and Gynecologyrh negativeMy wife is RH negative, and this is her second pregnancy. How to have a safe delivery?

Can a RH negative mother successfully deliver second baby?

Share

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 January 24, 2023
Reviewed AtJanuary 25, 2023

Patient's Query

Hello doctor,

I want to know how RH factors affect second pregnancy. Since I am RH positive, my wife has RH negative, and our first baby has A positive. Now my wife is seven months pregnant. Last week, the CTI test showed a positive 1:1, but after her first pregnancy, we took an anti-D injection. Can you please suggest what further treatment we can get to have a safe delivery and how it comes to positive since we already took anti-D? Kindly suggest.

Answered by Dr. Uzma Arqam

Hello,

Welcome to icliniq.com.

It is good to know about family rhesus sensitization for better care. If both parents have a negative blood group, then there would be no problem, but if the mother is negative and the father positive with rhesus positive child, and the baby's blood enters in mother during injury, birth, or bleeding, sensitization occurs, and the mother's immune system can develop antibodies (infection-fighting protein) against rhesus antigen. This is known as rhesus sensitization. As I told you, this sensitization occurs at birth, an injury, or a bleed. When the mother becomes pregnant with a second baby with a positive blood group, she already has sensitization, so her blood's antibodies can attack the baby's blood cells and thus cause hemolytic anemia or jaundice in the newborn. Injection of anti-D antigens, if given to the mother, can reduce the risk of sensitization by preventing the production of antibodies and clearing the antigen against blood cells. It is recommended for Rh-negative women to have antigen if it gets sensitized, like in case of bleed or trauma. Still, at 28 and 32 weeks, an anti-D injection will be given for all negative asymptomatic women. I would suggest getting this test to check your wife's antibody level. Get your baby reviewed by a neonatologist at birth. I hope I have cleared all your doubts. Hope I have cleared all your doubts.

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

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Obstetrics and Gynecology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy