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Subject:
From:
Dianne Oliver <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 25 Oct 2005 08:56:07 -0700
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To Niki Konchar,

Marsha (below) does a good job of explaining the case of Rh incompatibility 
with the issue typically being a mother who is Rh- having multiple babies 
who are Rh+.  Nowadays, Rh- mothers are offered Rhogam, an Rh-immune 
globulin, in the third trimester and within 72 of birth to prevent 
sensitization by a baby's Rh+ blood.  It's important to note that Rhogam is 
a blood product (albeit, as I recall when I checked out all this 
information about 10 years ago as I am Rh-, heat treated and not a *whole* 
blood product).  A mother's Rh- status will not be an issue if the father 
is also Rh- and there will not be a problem if baby is also 
Rh-.  Therefore, an Rh- mother should first have dad's blood type tested 
before consenting to Rhogam in the third trimester, and then when baby is 
born, baby's blood type can be tested to determine if Rhogam is necessary 
post-birth.

http://folsomobgyn.com/rh_testing_and_rhogam.htm  explains Rh 
incompatibility well.

I agree with Karen Palmer who posted "This all sounds like normal 
physiological jaundice to me with over medicalisation.
The clear fluids are just going to get in the way of excreting bilirubin 
and establishing breastfeeding.There is nothing like breastfeeding to 
create plenty of poop!"  I also believe that the Ped. was incorrect to use 
the term "blood incompatibility" in the case of this mother/baby dyad (from 
Nikis' post: "Mother overheard Ped telling nurse that dyad had a "blood 
incompatibility"-she states that she is O+, baby is O-..."),

~Dianne Oliver, LLLL, IBCLC
   Simi Valley, CA





>Date:    Tue, 25 Oct 2005 01:02:04 -0500
>From:    Marsha Glass <[log in to unmask]>
>Subject: Blood Incompatibility
>
>An Rh incompatibility qualifies as a "blood incompatibility", I would think.
>All are components present in (or absent from) the blood that can mix when a
>mother gives birth, and cause problems.  In a situation where the mother is
>(-) and the baby is (+), there may be problems for the baby or, more likely,
>for any subsequent (+) babies.  I had four babies who lived.  Three were
>(+), one was (-).  I am (-).  My first three children, all (+), were
>jaundiced, two remained hospitalized for a few days after my discharge. (I
>was ready for this with my son and took him home shortly after birth where
>his jaundice never reached dangerous levels and brief bouts of summer
>sunshine kept it in check.  The only child who wasn't jaundiced was my last
>child, who was also (-).  This is an intriguing situation, where it is
>reversed.  I would think there is the same potential for Rh problems, though
>not as serious as the blood transfusions needed for (+) babies of (-)
>mothers.  The problem is that upon exposure to the Rh factor (in someone who
>doesn't have it; ie the (-) person) their body sees it as a foreign antigen
>and manufactures antibodies to it.  The problem is experienced subsequently
>when the (-) person comes into contact with (+) blood and their antibodies
>attack the Rh "antigen".  The repercussions are obvious for women having
>multiple children, where the first child is not likely to be affected,
>because the mother's blood doesn't come into contact with the babies until
>delivery, when the baby is safely out.  However, for subsequent (+) babies,
>the antibodies already exist in the mother and cause problems shortly after
>birth.  I'm trying to reason why the (-) baby would be affected and could
>only see it if they came into contact with a fair amount of (+) blood from
>the mother.  This may be a zebra.  Perhaps the baby had a cephalhematoma or
>some other reason for having physiologic jaundice.

______________________
Holistic Lactation
www.holisticlactation.com
805-582-2058

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