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Discussion

Rhogam eval draw time

When do you draw the blood for a rhogam work up after delivery? Our facility states that it must be within an hour but I'm having a hard time finding evidence for that. Thanks for any help!

Featured Replies

Our hospital's policy is that it needs to be drawn within 72 hours postpartum. We would always time it with whatever labs are needed postpartum, or just whenever in the first day.

  • Author

Thank you. Do you know what reference they used to make that policy?

No, but I can look it up on Monday if you want.

  • Author

Thank you that would be great!

We draw with labs that are needed or within the first 24 hours if no other labs are needed. We have to give rhogam within 72 hours but we try to do it as soon as we can. I have never heard any reason it needs to be drawn within an hour.

I've never heard the one hour thing either. We just time it with other labs, or do it sometime in the first 24-ish hours.

Our standard practice is to draw the rhogam workup after the blood bank has reported the results of the cord blood and we know whether baby is Rh- or not. Typically with the next blood draw which is the very next morning following delivery.

ACOG's guidelines is to administer rhogam within 72hrs of delivery, but I have not yet found a recommendation for when to draw the workup.

I have, however, heard the folks from blood bank say it should be drawn ASAP after cord blood is reported.

We draw it at the next 0500 draw following delivery.

  • Experts

We have to administer Rhogam within 72hrs after delivery. We have Rhogam studies drawn at whatever time is reasonable for the patient that will also allow us to get her Rhogam in her within that time frame. Usually we'll have it drawn along with whatever other postpartum labs (CBC, etc.) the OBs have ordered.

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