Rhogam question

It will probably be fine. Was the injection in the gluteus, or ventro-gluteal? If it was gluteal, the best way to do it is look at the whole buttock, divide it into four quadrants, and give the injection in the upper, outer quadrant.

It was in the gluteal, thanks for the reassurance! The mother was a young mom, G1. Does that make a difference? Also why is it given gluteal, I've read online some give it in the arm? Is any IM location acceptable or is one preferable?

I would never give it in the arm. It's a thick solution, and is usually quite painful. It would be even more so if giving in the deltoid.

I recently attended a conference where it was stated that Rhogam is shown to be more effective if given in the deltoid. I haven't researched it any further but found that interesting.

Did they say why it was more effective? My thinking, gluteal is a bigger muscle, better absorption. No?

Have you ever seen a woman who developed Rh isoimmunization when she has received Rhogam appropriately? I haven't, so it would seem to me that it's effective, even when given in the glute.

She didn't elaborate - it was mentioned in the midst of a discussion on another topic. As I said, I haven't researched it further, I just found it interesting. It was an Advanced Fetal Monitoring class by Lisa Miller.