DrVirgo
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At which level of Rh antibody titers is RhoGam indicated?
A. 1:1
B. 1:2
C. 1:4
D. 1:6
E. 1:8
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| jojo999
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E. 1/8 according to kaplan
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| DrVirgo
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Yes, thats right.... Kaplan says that fetal risk is present if titers are >1:8
However UW says RhoGam is indicated when the mom is sensitized with titers of >1:6
If Mom is sensitized with AB titers of > 1:6 RhoGam is useless; monitor Amniotic fluid Spectophotometry (not sure what exactly that entails).
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| DrVirgo
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According to UW:
Ab titers are <1:6 ---> Mom is not sensitized and RhoGam is indicated
Ab titers are >1:6 ---> RhoGam is USELESS because Mom is already sensitized
According to Kap:
Ab titers < 1:8 ---> NO fetal risk --> Manage conservatively (repeat titer monthly)
Ab titers > 1:8 ---> FETAL RISK is present...
These two explanations sound contradicting to me...
Explanations anyone???
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| Tuscani
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yeah this issue is very unclear...
some even say 1:16!!!
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