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    This newborn journal describes a situation involving a mother with blood type O Negative who gave birth vaginally to a healthy baby boy. Due to the mother's blood type, she received an Rhogam shot during pregnancy to prevent Rh incompatibility if the baby's blood proved to be Rh positive. Testing of the baby's blood resulted in an "invalid" reading, meaning his blood type could not be determined. As a result, the mother's second Rhogam dose was held. The journal notes confusion around this decision and an unclear outcome.

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    This newborn journal describes a situation involving a mother with blood type O Negative who gave birth vaginally to a healthy baby boy. Due to the mother's blood type, she received an Rhogam shot during pregnancy to prevent Rh incompatibility if the baby's blood proved to be Rh positive. Testing of the baby's blood resulted in an "invalid" reading, meaning his blood type could not be determined. As a result, the mother's second Rhogam dose was held. The journal notes confusion around this decision and an unclear outcome.

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    This newborn journal describes a situation involving a mother with blood type O Negative who gave birth vaginally to a healthy baby boy. Due to the mother's blood type, she received an Rhogam shot during pregnancy to prevent Rh incompatibility if the baby's blood proved to be Rh positive. Testing of the baby's blood resulted in an "invalid" reading, meaning his blood type could not be determined. As a result, the mother's second Rhogam dose was held. The journal notes confusion around this decision and an unclear outcome.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    50 views2 pages

    3

    Uploaded by

    api-663410827
    This newborn journal describes a situation involving a mother with blood type O Negative who gave birth vaginally to a healthy baby boy. Due to the mother's blood type, she received an Rhogam shot during pregnancy to prevent Rh incompatibility if the baby's blood proved to be Rh positive. Testing of the baby's blood resulted in an "invalid" reading, meaning his blood type could not be determined. As a result, the mother's second Rhogam dose was held. The journal notes confusion around this decision and an unclear outcome.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Sophia Delatore

    Newborn Journal

    This week, I was in the Postpartum unit paired up with a mom and her 10 hour old baby
    boy with a fascinating situation at hand. Mom is a 26 year old gravida 1 para 0 who had a
    vaginal delivery at 39 weeks and 6 days that had no complications during the labor and the
    delivery. Her baby boy is as healthy as can be at 7lbs 9oz APGAR 8 and 9, with a normal
    bilirubin and labs except for one inconclusive result. When the baby was born and still connected
    to the placenta, they collected blood from the umbilical cord for labs and to determine the baby’s
    blood type. Mom’s blood type was O Negative. This means that her blood type is O and she is
    negative for Rh factor which is an inherited protein found on the surface of red blood cells. I was
    not aware of the blood type of the father. Due to the fact that Mom is ONEG, at 28 wks, she
    received a dose of Rhogam or also known as Rh-immune-globulin shot. This is to prevent the
    risk of damage to the baby due to a potential Rh incompatibility if the baby’s blood is Rh
    positive. During pregnancy and even delivery, the mom and baby’s blood can mix. Since the
    mom’s blood is ONEG, if the baby’s blood was positive for Rh protein, the mom’s blood would
    start developing antibodies to fight and deteriorate the baby’s red blood cells as if it was an
    infection. The symptoms the baby would show is anemia and jaundice, both due to the
    destruction of RBCs. So, when the baby was delivered, a DAT or Coombs test was done. This is
    used to determine whether Mom and baby’s are different types and have mixed during
    pregnancy. For this Mom and baby, the Coombs test did come back positive. This can be
    potentially dangerous for this baby and even higher risk of danger for future pregnancies.
    However, when the baby’s blood was tested, the result came back as A INVALID. This means
    that the test could not determine if the baby’s blood was positive or negative for Rh protein.
    Because of this, the second dose of Rhogam was held for the mother. To be 100% transparent,
    this decision confused me. I do not understand the situation as much as others may but would it
    hurt anything for her to receive the second Rhogam dose? There was also confusion about her
    RPR being positive (this test is called rapid plasma reagin test is a type of rapid diagnostic test
    that looks for non-specific antibodies in the blood of the patient that may indicate an infection)
    however due to the fact that she had syphilis, this gave a positive reading. Overall the situation is
    quite interesting and I wish I got to see if they ended up giving the mom the shot of Rhogam or if
    they had to do anything for the baby.

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