Transfusion Medicine Case 140 May 31, 2024 asulaim2 1. Prepared by Andrew Sulaiman DO, PhD and reviewed by Lorraine N. Blagg MA, MLS(ASCP)CMSBB An adult female with a history of prior pregnancies presented to labor and delivery for the delivery of her current child. The patient has a history of typing as O positive. ABO/RH typing results of the mother, neonate venous sample, and the cord blood is below. Prior to receipt of the molecular results and 48 hours after delivery, the care team was consulted about the appropriateness of RHIG for this patient. What are the next most appropriate steps. A. Mother has had prior children without issue and is probably weak D 1, 2 or 3, RHIG is not indicatedB. RHIG is indicated, but it is beyond the appropriate timeframe to administer itC. Administer a standard dose of RHIG before additional testing is performedD. A Kleihauer-Betke test should be performed to determine amount of RHIG administrationE. A fetal maternal hemorrhage screen should be performed and if positive standard RHIG dose should be administered Loading...
