1) Which pregnancy should you give mom the RhoGAM Wh? Even, because vou do not want the mom to make Anti-D 18-22

Concepts of Biology
1st Edition
ISBN:9781938168116
Author:Samantha Fowler, Rebecca Roush, James Wise
Publisher:Samantha Fowler, Rebecca Roush, James Wise
Chapter17: The Immune System And Disease
Section: Chapter Questions
Problem 3ACQ: Figure 17.17 The Rh antigen is found on Rh-positive red blood cells. An Rh-negative female can...
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When a mother is Rh-, there is a chance the baby may have hemolytic disease of Newborns. Rh+
mothers do not have this issue.
Why? Rh- moms do not have the Rh antigen in their body. A Rh- mom can have a Rh+ baby
depending on the male sperm. During pregnancy, Rh- mom can be exposed to her baby's Rh
antigen.
Let's look at figure a) the first pregnancy. The Rh- mom is pregnant with a Rh+ baby. The baby
exposes the mom to Rh antigen during pregnancy. This first baby is delivered and is ok.
Figure (b) between pregnancies, the mother is exposed to the foreign antigen Rh and she makes
antibodies against Rh. She now has anti-D (anti-Rh) in her body.
Figure (c) her second pregnancy with a Rh+ baby. On the next pregnancy that the mom has with a
baby. The mom has the anti-D (anti-Rh) antibody in her system. The antibody will attack the
baby's RBCS with the Rh antigen on it.
When the baby's RBC's are attacked the RBC will hemolyse (hemo=RBC; Lysis=cut). This will
result in severe anemia. The lysed RBC will release high levels of bilirubin causing potential toxic
brain syndrome.
We have ways of preventing this from happening now. All Rh- mom's are given a shot at 26-28
weeks of pregnancy and with 72 hours of delivery. The RhoGAM will bind to the fetal RBC's Rh
antigen and "cover" it up, so the mom's body does not t make anti-D antibody.
Check
your knowledge:
1) Which pregnancy should you give mom the RhoGAM Wh? Every, because you do not want the mom to
make Anti-D
18-22
Transcribed Image Text:When a mother is Rh-, there is a chance the baby may have hemolytic disease of Newborns. Rh+ mothers do not have this issue. Why? Rh- moms do not have the Rh antigen in their body. A Rh- mom can have a Rh+ baby depending on the male sperm. During pregnancy, Rh- mom can be exposed to her baby's Rh antigen. Let's look at figure a) the first pregnancy. The Rh- mom is pregnant with a Rh+ baby. The baby exposes the mom to Rh antigen during pregnancy. This first baby is delivered and is ok. Figure (b) between pregnancies, the mother is exposed to the foreign antigen Rh and she makes antibodies against Rh. She now has anti-D (anti-Rh) in her body. Figure (c) her second pregnancy with a Rh+ baby. On the next pregnancy that the mom has with a baby. The mom has the anti-D (anti-Rh) antibody in her system. The antibody will attack the baby's RBCS with the Rh antigen on it. When the baby's RBC's are attacked the RBC will hemolyse (hemo=RBC; Lysis=cut). This will result in severe anemia. The lysed RBC will release high levels of bilirubin causing potential toxic brain syndrome. We have ways of preventing this from happening now. All Rh- mom's are given a shot at 26-28 weeks of pregnancy and with 72 hours of delivery. The RhoGAM will bind to the fetal RBC's Rh antigen and "cover" it up, so the mom's body does not t make anti-D antibody. Check your knowledge: 1) Which pregnancy should you give mom the RhoGAM Wh? Every, because you do not want the mom to make Anti-D 18-22
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