Rhesus disease prophylaxis
In the Emergency Department (ED) there are three pregnant patients who have potentially had Rhesus D sensitising events.
You have been asked for advice on each of the three cases.
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Question 1 of 3
1. Question
A 32-year-old pregnant woman presents at 10 weeks gestation to the Emergency Department. She is experiencing painless vaginal bleeding and has passed what sounds like foetal tissue. You suspect this is a completed miscarriage.
Her pregnancy notes indicate she is Rhesus negative.
Which is the most appropriate management option to prevent future Rhesus haemolytic disease?
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Question 2 of 3
2. Question
A 38-year-old woman presents at 16 weeks gestation with vaginal bleeding and lower abdominal pain. She is Rhesus negative.
Which of the following is the most appropriate management option?
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Question 3 of 3
3. Question
A 27-year-old woman at 30 weeks gestation has presented to the ED after being involved in a road traffic collision. She was a passenger in a car which had a 30mph head-on impact with a stationary vehicle. There is lower abdominal tenderness and bruising consistent with a seatbelt injury. She is Rhesus negative.
Which of the following is the most appropriate management option to prevent Rhesus D sensitisation?
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