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Gynaecology & Obstetrics General 599296cf

A Rh-negative mother, who has Indirect Coombs Test (ICT), negative was given Anti-D during 28 weeks of pregnancy. Which of the following is the ideal one?

A
Give another dose of Anti-D 72 hours postpaum depending on the baby blood group
B
Give another dose of Anti-D 72 hours postpaum irrespective of baby blood group
C
No need of additional dose since she is ICT negative
D
All of the above
High-Yield Explanation
Answer- A. Give another dose of Anti-D 72 hours postpaum depending on the baby blood groupACOG (2010) recommends anti-D immune globulin to be given prophylactically to all Rh D-negative, unsensitized women at approximately 28 weeks, and a second dose given after delivery if the infant is Rh D-positive. Before the 28-week dose of anti-D immune globulin, repeat antibocly screening is recommended to identify individuals who have become alloimmunized. Following delivery, anti-D immune globulin should be given within 72 hours.

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