Question

A 28-year-old pregnant woman (28 weeks gestation) presents for a routine antenatal appointment. Her booking bloods showed she was Rhesus D (RhD) negative. According to NICE guidelines, what intervention is recommended to prevent sensitization and haemolytic disease of the fetus and newborn?

Accepted Answer

Anti-D immunoglobulin injection at 28 weeks gestation (Routine Antenatal Anti-D Prophylaxis - RAADP)

Answer

Anti-D immunoglobulin injection at delivery only

Answer

Anti-D immunoglobulin injection only if sensitization (positive antibody screen) occurs

Answer

Fetal blood sampling to determine fetal RhD status

Answer

No intervention required during the first pregnancy

Practice question

A 28-year-old pregnant woman (28 weeks gestation) presents for a routine antenatal appointment. Her booking bloods showed she was Rhesus D (RhD) negative. According to NICE guidelines, what intervention is recommended to prevent sensitization and haemolytic disease of the fetus and newborn?