korday:
hi op.
God bless you for the write up. my wife is rh-. she once had miscarriage before now. we were advised to go for indirect coombs test.bwhich came out negative and you know Nigerian hospital and their time wasting tactics. I want to understand the negative outcome. does it means she hasn't develop antibodies or she has already. or does it mean the child is rh-. according to tour right up of a father is rh-+ then the child have to be rH+. please enlighten me a bit more. the doctor in charge of her case have refused to pick call since last week.
thank you in advance

ChelseaDr:
Thanks Op for this educative piece.
Let me however make this clarification. A child born to a rhesus negative mother and whose father is rhesus positive must not be rhesus positive as the op pointed out. The child may either be rhesus positive (like the father) or rhesus negative (like the mother).

Again, a rhesus negative woman can actually receive blood from a rhesus positive donor without the compatibility issues that will lead to maternal death as the Op posited. The only thing is to weigh the risk between saving the woman's life or allow her become sensitized. So the fear is for the future pregnancies not on the woman.

However, even in a setting of sensitization, the foetus can be monitored closely and many have been salvaged without dire consequences.
https://www.nairaland.com/2429829/rhesus-negative-blood-group-pregnancy

cheers!

sgtponzihater1:
Who u epp!, Nigerians doctors are d biggest problem in out health sector. Agreed by all quartets including Johesu.

eyinjuege:
There's a reason we have rhogam injections for rhesus negative women.
Whether after a first miscarriage/abortion, bleeding while pregnant/ or even after delivery, you give rhogam.
In this day and age, the emphasis shouldn't be on rhesus affecting the choice of a life partner, but on letting all rh negative women know about the ehogam injections and when to have it
Firstly, everyone has to know their blood group.

dominique:
For better understanding

happney65:
Could remember a Family Friend.A good family friend..Always had stillborn for years..That was when i knew about this RH and RH whatever..I really pitied the wife..I could not count the total number of still births she had..It was frustrating and touching..This led to both husband and wife separating after a while..Wife later died not too long ago..Nearly cried when i knew she passed away..May she rest in peace..I do not wish for any sort of infertility issue for even my enemy that is if i have one sef..

Ebookmathswaec:

Thanks so for the clarification Sir. The OP is not a Doctor.

Aquariann:
In addition, as a Rh- girl, please never think of an abortion if you happen to get pregnant out of wedlock. You'll never have a child again. (Caveat: Unless you find a Rh- man to marry).

And if and when you do keep the pregnancy (this include Rh- married women), a CS is the best (or rather only) option if you intend to have other kids in the future.

Mehn, I love Biochemistry

SirMazi:

You know next to nothing,other than MMM issues #smh

KunkAcid:





And how have you imparted on curbing the prevalence of quackery in the lab dept @ GHS where you currently are

Aquariann:
In addition, as a Rh- girl, please never think of an abortion if you happen to get pregnant out of wedlock. You'll never have a child again. (Caveat: Unless you find a Rh- man to marry).

And if and when you do keep the pregnancy (this include Rh- married women), a CS is the best (or rather only) option if you intend to have other kids in the future.

Mehn, I love Biochemistry

sgtponzihater1:
Who u epp!, Nigerians doctors are d biggest problem in out health sector. Agreed by all quartets including Johesu.

booqee:
ur not making sense

goslowgoslow:

U be real mumu! This is a very educative topic and you just type rubbish.

hamzeiy:

really..its unfortunate but they suffered due to ignorance. after d first child the mother aught to go for an antigen injection .i cant remember its name but today medicine has rendered rhesus factor related issues history. the only one we still suffer from is genotype.

VeeVeeMyLuv:

lol

una go abandon the hapless patients, enter POLITICAL battle with yourselves.

you wonder why no one is investing in health sector, even your presido went to London for alleged prolonged treatment recently.

they have lost confidence, faith and trust in you people.

what you guys dont know is that everyone personnel in health sector is important.

all this bickering among yourselves will take you no where.

DOCTOR attacks NURSES, in turn they attack the DOCTORS again, PHARMACISTS and MED LAB Scientists attack DOCTORS and vice versa, the MEDIC LAB SCIENTISTS have since long time ago outlawed/banished BASIC HEALTH SCIENCES (these ones they call biochemists, chemists and microbiologists) from medical and research institutions.

is this how people in the MED/HEALTH industry conduct themselves in other countries UK and US included?

KunkAcid:



I'd like to commend your effort in writing such a lengthy and educative post.

You also were very plain in your discuss, making it easy for most people to comprehend.

However, the post lacked medical depth and specificity.

NB: Your discuss on Rhesus (Rh) factor is without specificity as to which of the Rhesus factors.

There are 5 Rhesus factors amongst over 50 which are important to us. They are;
1. Rh D
2. Rh C
3. Rh c
4. Rh E
5. Rh e

Op, I believe the very Rhesus factor you have discussed is Rhesus factor D (Rh 'D').

Secondly, inheritance of the Rhesus factor is not solely from the father. The offspring can inherit it from either parents whether (+) or (-)

Take note and cheers!

mccoy47:

I feel like slapping you for this senseless post!

ChelseaDr:

With due respect Sir, this is not correct.

Tobycharles:

U just made ur ignorance obvious

ChelseaDr:


Again, a rhesus negative woman can actually receive blood from a rhesus positive donor without the compatibility issues that will lead to maternal death as the Op posited. The only thing is to weigh the risk between saving the woman's life or allow her become sensitized. So the fear is for the future pregnancies not on the woman.

jashar:
It's true ooo... I learnt this in my Secondary school biology.

jashar:
It's true ooo... I learnt this in my Secondary school biology.

yellowb:

Just same way u imparted on curbing before u left,its better dan i met it... Baba u no supose dey disclose my location o.. . Hw u dey

sgtponzihater1:


At least I know something, most Nigerian docs know nothing at all, except malaria, typhoid, diarrhoea, appendix etc which a trained nurse can handle without stress.

happney65:


Yeah I think so..However their case was over 25years ago so maybe they never knew sha..There was even a time the mother in law had to leave to the village because the wife accused her of being the one Wey dey chop their baby... Lol..Very funny scenario then..Things that happen on planet earth..Too Bad

Ebookmathswaec:


Thanks Doctor! The OP is not a Doctor.