Rh disease during pregnancy

When a woman is in an interesting position,she even has no idea how many different factors can affect the course of pregnancy. Among the one question to which you want to draw attention - a Rhesus-conflict.

Many women may have heard about this andproblem, but did not give it a value or do not fully understand the danger. It is known that if a person is in the dark, he starts to panic even more. To this did not happen, and the woman met her long-awaited pregnancy, as they say, "fully armed", our site will talk about the Rh conflict during gestation baby.

The significance

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To begin to understand what it meansphenomenon. Rh - a protein which is located on top of the erythrocytes. It is found in the blood of almost every human being, except for the 15 percent of the population. Therefore, 85 per cent will be Rh positive, while the rest of the minority - of course, negative.

This phenomenon is just one of the manifestationsimmunological properties of human blood picture. On health absolutely no effect, so it is absolutely safe. Yet doctors say that human Rh blood with the "plus" is much stronger than with the sign "minus".

It discovered this phenomenon in 1940 by scientists Wiener and Landsteiner when they studied the blood of animals rhesus monkeys. That is why this phenomenon was given the name.

It denotes the two Latin letters Rp, with "plus" or "minus".

During the period of gestation

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The great regret, express symptomsthis phenomenon is not. For the health of a woman who bears a child, there is absolutely no threat, but it is huge for a kid. To understand the problem of fetal ultrasound to help - if the doctor saw the fluid in the baby's body, swelling, the child is in an unnatural position for the fetus - put this diagnosis. Also changed and the size of the placenta, and the diameter of the vein through the umbilical cord.

For the unborn child is a manifestation can have multiple streams of the disease:

  • in the form of jaundice;
  • as edema;
  • development anemia.

The most difficult and dangerous form of the disease - it is swollen. After birth, babies get into the intensive care unit.

The second difficulty is the icteric form when blood baby found high levels of bilirubin.

Anemia, paradoxically considered this of the mild forms of the disease, its severity can be insidious and result in unintended consequences.

detection method

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One of the only ways to detect the "enemy" is blood test antibody. It is conducted for all pregnant women, in whom there is a suspicion of Rhesus-conflict. At the initial stage of pregnancy analysis should pass and the child's father. If a combination of factors will be conflict, woman necessarily must take this test every month in order to identify the amount of antibodies.

When the pregnancy reaches 20 weeks, and the situation does not improve, the woman passes under the supervision of experts and will be blood tests more often.

Does it matter was found on what terma threat. If early on - it does not mean positive during pregnancy. A 28-week, when the blood begins to intensify exchange, a woman comes under closer supervision of specialists.

How do you know about the health of the fetus

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Throughout pregnancy, a woman routinely passes ultrasonography. There is another method for the baby's health survey - evaluation of the work of the heart and blood flow in the vessels of the fetus and placenta.

Invasive methods of fetal survey:

  1. Amniotsetez.
  2. Cordocentesis.

The first method is pierced amnioticbubble and taken for analysis amniotic fluid, if the percentage of bilirubin is very high - risk threat to fetal life. This procedure is considered very dangerous because of the risk of infection inside, placental abruption. The method is carried out when the amount of antibody expressed as 1:16, or when a woman has had a baby with HDN.

The second method is the same risky - inumbilical cord puncture is done and taken a blood test for bilirubin. The indication is a ratio of 1:32 antibody or children born or died because of Rh-conflict.

Treatment

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No treatment options - only one method - a blood transfusion to the fetus. This is very risky, but the baby will actually feel better. This method is also an escape from premature birth.

prevention

It is quite possible. The woman entered a special substance - an immunoglobulin, which injected 72 hours after the first (and subsequent) delivery, as well as abortions, Miscarriages, bleeding and blood transfusion to the fetus.

In some cases, it is administered at 28 weeks of pregnancy, but only with the consent of the woman.

The possibility of breastfeeding

This issue is constantly on hearing women whojust given birth. In this respect there are many differences, but there is always the doctors assess the condition of the child and in any case are advised not to breastfeed the child for about two-three days to as long as all the antibodies do not come out of the mother's body.

Other doctors say that it is not necessary to limit breastfeeds. But while the study of this problem is not fully understood, it is better to listen to the advice of doctors.

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