A 30-year-old woman, gravida 1, is seen in the GP surgery at 26 weeks of gestation. Her booking blood group was O Rhesus D negative. Her antibody scre...

Question

A 30-year-old woman, gravida 1, is seen in the GP surgery at 26 weeks of gestation. Her booking blood group was O Rhesus D negative. Her antibody screen at booking was negative. Which is the single most appropriate management regarding her Rhesus status?

Accepted Answer

Arrange cell-free fetal DNA testing to determine fetal blood group before giving anti-D

Answer

No further action required until delivery

Answer

Offer routine antenatal anti-D prophylaxis at 28 weeks

Answer

Check antibody levels monthly from now until delivery

Answer

Offer anti-D prophylaxis only if she has a sensitising event

uk-drcog MCQ (SBA): Rhesus D Negative Pregnancy

A 30-year-old woman, gravida 1, is seen in the GP surgery at 26 weeks of gestation. Her booking blood group was O Rhesus D negative. Her antibody screen at booking was negative. Which is the single most appropriate management regarding her Rhesus status?