A baby born 3 days ago presents to the peds clinic slightly jaundiced. The baby is drawn to evaluate her bilirubin levels. The pediatrician is questioning whether the mother should receive Rhogam. He calls the blood bank and you review the mother's and baby's history. The mother's type and screen performed 4 days ago upon admission to the hospital for labor and delivery is as follows: Anti-A Anti-B Anti-D Rh Control A1 cells B cells 0 0 4+ 0 3+ 3+ IS 37 AHG CC Screening Cell I 0 0 0 2+ Screening Cell II 0 0 0 2+ Screening Cell III 0 0 0 2+ The baby's cord blood was tested 4 hours after delivery with the following results: Anti-A Anti-B Anti-D Rh Control Weak D Weak D CC DAT DAT CC 3+ 0 0 0 Not performed 2+ NA The father tells the pediatrician that his blood type is AB positive. Should the mother have been given Rhogam 3 days ago? Is it too late to issue Rhogam now?
A baby born 3 days ago presents to the peds clinic slightly jaundiced. The baby is drawn to evaluate her bilirubin levels. The pediatrician is questioning whether the mother should receive Rhogam. He calls the blood bank and you review the mother's and baby's history.
The mother's type and screen performed 4 days ago upon admission to the hospital for labor and delivery is as follows:
|
Anti-A |
Anti-B |
Anti-D |
Rh Control |
A1 cells |
B cells |
|
0 |
0 |
4+ |
0 |
3+ |
3+ |
|
IS |
37 |
AHG |
CC |
|
|
Screening Cell I |
0 |
0 |
0 |
2+ |
|
Screening Cell II |
0 |
0 |
0 |
2+ |
|
Screening Cell III |
0 |
0 |
0 |
2+ |
The baby's cord blood was tested 4 hours after delivery with the following results:
|
Anti-A |
Anti-B |
Anti-D |
Rh Control |
Weak D |
Weak D CC |
DAT |
DAT CC |
|
3+ |
0 |
0 |
0 |
Not performed |
2+ |
NA |
The father tells the pediatrician that his blood type is AB positive. Should the mother have been given Rhogam 3 days ago? Is it too late to issue Rhogam now?
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