A 31-year-old woman, 2 weeks postpartum, contacts the GP reporting a widespread maculopapular rash, joint pain, and fever. She had a normal vaginal de...

Question

A 31-year-old woman, 2 weeks postpartum, contacts the GP reporting a widespread maculopapular rash, joint pain, and fever. She had a normal vaginal delivery and received anti-D immunoglobulin at 28 weeks and after delivery. She is breastfeeding. She asks whether the anti-D could have caused her symptoms. Which is the most appropriate advice?

Accepted Answer

Mild reactions to anti-D (injection site pain, mild fever) can occur, but a widespread rash with joint pain warrants assessment to exclude other causes such as viral infection - she should be reviewed clinically

Answer

Anti-D never causes any side effects

Answer

She is definitely having an anaphylactic reaction and should call 999

Answer

This is normal and she should take paracetamol

Answer

Anti-D is unsafe in breastfeeding and should not have been given

uk-drcog MCQ (SBA): Post Anti-D Symptoms - Exclude Other Causes