DIL universal donor blood type (O RH-)

I'm a nurse and have cared for Rh- mothers before, plus I have taught maternity nursing. Here's the standard care plan for my area:

1. Injection of anti-D immunoglobulin (RhoGAM or WinRho) at 28 weeks gestation.

2. When the baby is born, a cord blood sample will be taken. (This does not hurt the baby. Once the cord is cut, the doctor/midwife will open the clamp on the portion of the cord attached to the placenta, and drain some blood into a test tube.) The lab will note that Mom is Rh- and test the blood. If baby is Rh-, all is well and no intervention is needed. If baby is Rh+, Mom will be given WinRho/RhoGAM within 72 hours of the birth, usually while she is still in hospital. (Home births aren't that common in North America. My expectation is that if a mother had a home birth with a midwife, the midwife would arrange all of this.)

3. WinRho/RhoGAM is also given after a miscarriage, termination, or invasive procedure where mother and baby's blood could mix (e.g. amniocentesis).

After baby is born, if baby is Rh+ and there are antibodies (part of the cord blood testing is to check for this), we'll also get excited about jaundice at a lower bilirubin level than we would for a baby where this was not an issue. By excited, I mean that we'll initiate treatment earlier than we otherwise would. The risk is that the mother's antibodies can attack the baby's blood, causing the breakdown of red blood cells. Bilirubin is produced by the breakdown of red blood cells. Too much bilirubin in the blood is what causes jaundice.

Dear Lin52, Scentia, SueDonim, Nannytopsy, Dragonfly46, Chestnut, Freedomfromthepast, Doodle and Sodapop, thank you all for your replies. DIL called this morning to tell me how first visit to the doctor went. I did not raise the issue because I know she is in good hands, so no need to do that, but I know the doctor had my son look into this (see what his blood type is, which we do not know) so they are obviously on top of it. DIL in high spirits and exctited although a bit nauseous. We are all happy.

Same here but of course my last baby was over 40 years ago so things may have changed. Don't actually remember having an injection subsequent to my first child. I was just made aware there could be problems with further children.

Hi Mariana . I am negative and DH positive. Like many have said, your DIL will have an injection after her first child to stop any potential problems. This happened for me over 40 years ago when my children were born so I’m sure by now they are well versed into what to do.

I am O-, my husband A+. My oldest is O- and my youngest is A-.

In the US, and I am sure similar in the UK as well, an RH- mother gets a shot at 28 weeks no matter if the father is + or -. As long as the mother is RH- she gets the shot.

One of the worst ones I have ever gotten. Like glue going in. But better that then the alternative.

Here are the potential children from different blood groups. If one parent is Positive and and other parent Negative then the children can be either Positive or Negative.

I too am O negative and when I had my son in the Netherlands my DH had to go to the main hospital to pick up an injection for me. It wasn’t a problem.

Thank you very much for all your replies; I really was a bit worried.

I am O negative and husband is A positive, which means both of our children are A positive. After each delivery I had an injection of anti D and again after a miscarriage. This is to prevent problems with any future pregnancies.

My own dd is Rh neg. Maternity staff nowadays are well versed in caring for Rh neg mothers. My dd was given an injection after the birth of her first child, which prevents any problems occurring in a subsequent pregnancy. It really wasn’t a big deal.

My DD is Rh-O and her husband is A+ she just has to have an injection called an Anti D after birth and at any time she may be bleeding inside, even a tiny bit just in case the baby is + It is very normal and common do do not worry.❤️
Congratulations by the way.

Hopefully this will help
duckduckgo.com/?q=pregnancy%20and%20negative%20blood+site:www.nct.org.uk&t=ipad