Quote from Taqiyya143
Thank you for your corrections!!! As I have read up I did confuse the Rh+ and Rh- mother. It would be an Rh- mother who is carrying a Rh+ fetus that would have problems. AGAIN it does not become an issue with the first born but rather those who come after the firstborn. And Rhogam is given to the Rh- mother as you stated not the Rh positive mother. Apologize for any confusion to the OP. and to the one who posted after me...I don't need to be hostile in your corrections. As no one knows everything!!!! I am grateful that u corrected the post. But take a chill pill all the TUDE and know it all attitude is NOT NECESSARY!!!! I'm believe we all are here to learn from one another. To the OP again apologize for the mixup with the Rh- mother. But the other info still remains the same. Thank you. I'm a lover not a fighter!!! Haha
It usually is not an issue with the firstborn, but as I explained in my previous post, it can be. The reason why it is usually
not an issue in the firstborn is because fetal and maternal blood usually
do not mix during pregnancy. The Rh negative mother's body first needs exposure to the Rh factor to begin producing antibodies. In most cases, delivery is the first exposure which is why the first born is usually unaffected. However, to say as a blanket statement "it does not become an issue with the firstborn" is false. The first born could very easily not be the result of a first pregnancy- if the mother had a previous abortion, miscarriage, ectopic pregnancy, she could already have anti-Rh antibodies. (In your OB clinical, do you recall them describing women as "G3, P0-1"? So this woman was pregnant twice before delivering her first born, the first born could very easily be at risk.) If the mother gets into a car accident or experiences some sort of abdominal trauma while pregnant (even with her first pregnancy), fetal blood can enter maternal circulation, which would expose the mother to the Rh factor and her body would begin producing anti-Rh antibodies which could very well affect the fetus she is currently pregnant with... even if it is the first pregnancy. I once had a patient who had MANY issues because his mother was kicked in the belly by a horse while pregnant.
I don't know what attitude you're talking about... the OP asked a question, incorrect information was posted and I clarified it.