Rh Isoimmunization and Other Blood Group Incompatibilities — Flashcards

Flashcard 1: Protocol for Rh isoimmunization:If the husbands blood group is _____, do ICT

Answer: positive

Flashcard 2: Protocol for Rh isoimmunization:If the mother is Rh _____, The first step determine the blood group of husband

Answer: negative

Flashcard 3: Protocol for Rh isoimmunization: If **MCA-PSV** is _____ than 1.5 deliver at 34 completed weeks or do fetal blood sampling if the gestational age is less than 34 weeks

Answer: more

Flashcard 4: If period of gestation is less than 32 weeks, REDF is managed by giving _____ for fetal lung maturity along with MgSO4

Answer: dexamethasone

Flashcard 5: The following is a _____chorionic _____amniotic placenta

Answer: mono

Flashcard 6: The presence of cord entanglement is indicative of _____ twins

Answer: monoamniotic

Flashcard 7: Chorion periphery is a thickened, opaque, gray white circular ridge composed of a double fold of chorion and amnion: _____ placenta

Answer: Circumvallate

Flashcard 8: The clinical criteria for diagnosis of _____ include sudden cardiopulmonary collapse, clinical evidence of DIC, and onset during labor or within 30 minutes of placental delivery.

Answer: Amniotic fluid embolism (AFE)

Extra: Amniotic fluid embolism (AFE) is primarily a clinical diagnosis of exclusion. The Society for Maternal-Fetal Medicine (SMFM) diagnostic criteria include: 1. Acute onset of cardiopulmonary collapse (cardiac arrest, or hypotension + respiratory distress). 2. Evidence of Disseminated Intravascular Coagulation (DIC). 3. Clinical onset during labor or within 30 minutes of delivery of the placenta. 4. Absence of other clinical explanations for the findings.

Flashcard 9: Assuming RhoGam is not given, the first time a mother is Rh- and delivers a Rh+ fetus, the mother will form _____.

Answer: anti-Rh (D) antibodies

Flashcard 10: As per the Anemia Mukt Bharat (AMB) guidelines, the prophylactic dose for anemia in pregnancy is one tablet daily containing _____ elemental iron and 500 mcg folic acid for 180 days.

Answer: 100 mg

Extra: Classification of Anemia in Pregnancy (Hb levels): - Mild: 10-10.9 g/dL - Moderate: 7-9.9 g/dL - Severe: < 7 g/dL - Very Severe: < 4 g/dL For Moderate Anemia (7-9.9 g/dL): Management usually involves IV Iron (Iron Sucrose or FCM) or 2 IFA tablets daily.