Rhrogam?
elphie754
Posts: 7,574 Member
Not weight loss related, but not sure where else this question could be answered.
For all the women out there who have been pregnant, did you have to get the rhogam shot? The PA at the OB I go to, kept trying to get me to get it. While admitted to L&D they tied to force it on me as well and acted like I was a horrible person to not take it. We discussed it at length with my OB and came up with a solution. After baby is born, they will check blood type and if rh+ get it then. I'm just hesitant since I always seem to have an allergic reaction to anything new.
Anyone have personal experience with it?
For all the women out there who have been pregnant, did you have to get the rhogam shot? The PA at the OB I go to, kept trying to get me to get it. While admitted to L&D they tied to force it on me as well and acted like I was a horrible person to not take it. We discussed it at length with my OB and came up with a solution. After baby is born, they will check blood type and if rh+ get it then. I'm just hesitant since I always seem to have an allergic reaction to anything new.
Anyone have personal experience with it?
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Replies
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I had two shots with my son - one during pregnancy and one after he was born. I didn't have any reaction to either shot. Do what is best for you. Congrats on your baby!0
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I had to have it during both pregnancies since my husband was Rh+. I know for the second one I had to have it twice. I had no issues, but I also don't have severe allergies.
Both kids were positive. But of course didn't find that out until afterwards.0 -
I had the shot after my second daughter since my first was negative blood type. I didn't have any reaction to it. (This was 40 years ago and they didn't give the shot during pregnancy at that time.) It sounds like you and your Dr. have a plan and I would trust them on this and try not to stress. Very best wishes to you!0
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I'm A- and husband is B+ and had the shot during pregnancy with both my kids. I figured I would have enough to worry about during delivery and right after baby was born and didn't want to have to think about risks at that time, I preferred to be proactive and err on the side of caution.
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There should be no risk with the first delivery but not so for any following. If you develop any antibodies during this pregnancy then future infants may be at risk.1
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I had two shots with my son - one during pregnancy and one after he was born. I didn't have any reaction to either shot. Do what is best for you. Congrats on your baby!
Thank you! They wanted me to get one at 28 weeks but I refused.I had to have it during both pregnancies since my husband was Rh+. I know for the second one I had to have it twice. I had no issues, but I also don't have severe allergies.
Both kids were positive. But of course didn't find that out until afterwards.I had to have it during both pregnancies since my husband was Rh+. I know for the second one I had to have it twice. I had no issues, but I also don't have severe allergies.
Both kids were positive. But of course didn't find that out until afterwards.
Same issue here.I had the shot after my second daughter since my first was negative blood type. I didn't have any reaction to it. (This was 40 years ago and they didn't give the shot during pregnancy at that time.) It sounds like you and your Dr. have a plan and I would trust them on this and try not to stress. Very best wishes to you!
Thank you
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I did, with my of my kids during pregnancy bc I'm O-, but husband is A+. I didn't need it after birth bc both kids have my blood type.
If your husband is + and you are -, you should really reconsider it. It won't cause an issue this pregnancy, but could pose a problem in subsequent pregnancies.0 -
tjones0411 wrote: »I did, with my of my kids during pregnancy bc I'm O-, but husband is A+. I didn't need it after birth bc both kids have my blood type.
If your husband is + and you are -, you should really reconsider it. It won't cause an issue this pregnancy, but could pose a problem in subsequent pregnancies.
This is going to be our one and only child.0 -
I think you are very wise to question this with your medical history of allergies. Unless you are going to have subsequent babies, there is no reason to get it while your pregnant. I would say *if* baby shows up with incompatibility after birth, then you would want to get the shot for future pregnancies. But there is no health reason to do it prior to finding out what blood type baby has. Unless you do something permanent for birth control then you will want to get the shot "just in case" after birth (if you and baby are incompatible). With the next pregnancy you would need it (I know you said you weren't having anymore but without something permanent it would be good to get it). It seems wise to be cautious at this point given your medical history. If it's not definitely needed, I wouldn't do it. If it were definitively needed, I would do it in a heartbeat.0
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Well, according to the Internet, "Rh incompatibility rarely causes complications in a first pregnancy and does not affect the health of the mother. But if Rh antibodies develop, they could be dangerous to a fetus during later pregnancies. Rh disease can cause severe anemia, jaundice, brain damage, and heart failure in a newborn. In extreme cases, it can cause the death of the fetus because too many Red Blood Cells have been destroyed." In Rh incompatibility, the (Rh-) mother's immune system basically attacks the (Rh+) baby and destroys it's red blood cells. Used to be a problem for the small percentage of people with Rh- back in the days before modern medicine. Not much now that we have the shot.
I guess as long as you're sure you won't be having another, it won't matter. But consider the risks to future offspring if you aren't sure. It sounds like you and your doctor have a plan. I'm sure everything will work out fine.
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ronjsteele1 wrote: »I think you are very wise to question this with your medical history of allergies. Unless you are going to have subsequent babies, there is no reason to get it while your pregnant. I would say *if* baby shows up with incompatibility after birth, then you would want to get the shot for future pregnancies. But there is no health reason to do it prior to finding out what blood type baby has. Unless you do something permanent for birth control then you will want to get the shot "just in case" after birth (if you and baby are incompatible). With the next pregnancy you would need it (I know you said you weren't having anymore but without something permanent it would be good to get it). It seems wise to be cautious at this point given your medical history. If it's not definitely needed, I wouldn't do it. If it were definitively needed, I would do it in a heartbeat.
That's why I'm waiting until we find out. Abuse blood type. It is still possible for her to be Rh-. Right now I can't even think about have another one lol. After this we are going to explore other versions of birth control (I can't take the pill because numerous ones have made me sick). OB suggested nuva ring after baby is born, so will start there.Well, according to the Internet, "Rh incompatibility rarely causes complications in a first pregnancy and does not affect the health of the mother. But if Rh antibodies develop, they could be dangerous to a fetus during later pregnancies. Rh disease can cause severe anemia, jaundice, brain damage, and heart failure in a newborn. In extreme cases, it can cause the death of the fetus because too many Red Blood Cells have been destroyed." In Rh incompatibility, the (Rh-) mother's immune system basically attacks the (Rh+) baby and destroys it's red blood cells. Used to be a problem for the small percentage of people with Rh- back in the days before modern medicine. Not much now that we have the shot.
I guess as long as you're sure you won't be having another, it won't matter. But consider the risks to future offspring if you aren't sure. It sounds like you and your doctor have a plan. I'm sure everything will work out fine.
That's why I'm so up In the air about it. This pregnancy wasn't planned aka future one might not be planned either.0 -
has your husband been typed? If he is Rh+ there is a 50% chance of having a child that is Rh -, if he is carries the recessive part of the the Rh antigen. If he carries two dominate ones then there is a 75% chance the baby will be Rh+ and 25% Rh-. It is completely up to you but if fetal blood mixes with your blood at any point in the pregnancy, you will most likely be creating an antibody (even if you wait until after she is born). If your husband is Rh- then you won't have an Rh+ child. I am a blood banker and I have not heard of any allergies from the shot; but it is completely your decision.2
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has your husband been typed? If he is Rh+ there is a 50% chance of having a child that is Rh -, if he is carries the recessive part of the the Rh antigen. If he carries two dominate ones then there is a 75% chance the baby will be Rh+ and 25% Rh-. It is completely up to you but if fetal blood mixes with your blood at any point in the pregnancy, you will most likely be creating an antibody (even if you wait until after she is born). If your husband is Rh- then you won't have an Rh+ child. I am a blood banker and I have not heard of any allergies from the shot; but it is completely your decision.
Yes he was whichbis how it came aboutnin the first place. I'm O- and he is B +, but his mom was b- so there is the chance he has the recessive gene as well and baby is still negative.
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I am a blood banker and I have not heard of any allergies from the shot; but it is completely your decision.
Oh, I'm glad to have someone to ask this question. Do you know if the rhogham shot has any adjuvants or preservatives to it? For someone with either mast cell or other allergy issues the additives and chemicals used to keep the shots mixed can cause severe reaction issues and immune system damage. Sometimes they can get shots special done with none of the additives and preservatives and given to the patient almost immediately once it's made. Just wondering if you know about any of this for rhogham? I have not researched this shot too much.0 -
I'm not sure if you're allergic to meds or other allergens, but I have bad allergies, tested allergic to every tree, grass, and weed pollen on a skin test and had no problems with Rhogam. I've had two children so I've had it about 3 times for sure, can't remember if I had it while pregnant with my first. I'm B- and my husband is O+ and so are my children.0
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SeptemberFeyre wrote: »I'm not sure if you're allergic to meds or other allergens, but I have bad allergies, tested allergic to every tree, grass, and weed pollen on a skin test and had no problems with Rhogam. I've had two children so I've had it about 3 times for sure, can't remember if I had it while pregnant with my first. I'm B- and my husband is O+ and so are my children.
Food allergies respond quite a bit differently then environmental allergies for most people. While they are both a hyperactive immune system, when an allergen actually goes through the digestive process it definitely affects the body differently.0 -
SeptemberFeyre wrote: »I'm not sure if you're allergic to meds or other allergens, but I have bad allergies, tested allergic to every tree, grass, and weed pollen on a skin test and had no problems with Rhogam. I've had two children so I've had it about 3 times for sure, can't remember if I had it while pregnant with my first. I'm B- and my husband is O+ and so are my children.
I have severe food allergies and have also had allergic reactions in the past to vaccines in the past.
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I'm O-, baby daddy is positive. I had the shot with three pregnancies. FTR, the shot has been given for nearly 50 years now and side effects are rare.
It has, however, dramatically reduced the occurrence of hemolytic disease, which results in fetal death in about half of the cases.1 -
lmjohnson110 wrote: »I'm O-, baby daddy is positive. I had the shot with three pregnancies. FTR, the shot has been given for nearly 50 years now and side effects are rare.
It has, however, dramatically reduced the occurrence of hemolytic disease, which results in fetal death in about half of the cases.
Side effects might be rare in the general population, but I tend to get very nasty effects from lots of things that are generally safe. I ended up with aseptic meningitis from the flu shot years ago, something that is extremely rare, but I ended up getting it. That is why I am so hesitant.0 -
I am O- and hubby is AB+. I got the rhogam injection for both of my pregnancies, which is lucky because both of my boys have + blood types.
I understand having second thoughts since you have experienced allergic reactions in the past, but I wonder if a) you know what ingredients caused allergic reactions in vaccinations and b) if you know the name of the specific injection the doctor was planning to give you and whether you have allergies to the ingredients? Just for your reference, I believe this is the most recent formula:Principal Display Panel - 300 ug Carton
Rho(D) Immune Globulin (Human)
RhoGAM®
Ultra-Filtered PLUS – 300 µg Dose (1500 IU*)
Thimerosal-Free
*International Units
Do not store frozen
See Directions for Use
Package Contains:
•1 prefilled syringe containing a
single dose of RhoGAM
•1 control form
•1 package insert
•1 patient identification card
1 single dose
Active Ingredients
Anti-D Rho Immune Globulin (300 µg), the potency of
which is determined relative to the US/WHO/EP Standard
Anti-D Immunoglobulin Rho(D) Immune Globulin (Human)
CBER Lot 4: NIBSC Lot 01/572 (285 IU/ampoule)
Inactive ingredients
2.9 mg/mL sodium chloride
0.01% polysorbate 80
15 mg/mL glycine
Source: https://www.drugs.com/pro/rhogam-ultra-filtered-plus.html
It might help to figure out which ingredients could cause you problems and discuss your specific concerns with your OB. If you could get the injection without any adverse effects, it could help you avoid future heartache and difficulties if you do decide to have another baby.
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ronjsteele1 wrote: »I am a blood banker and I have not heard of any allergies from the shot; but it is completely your decision.
Oh, I'm glad to have someone to ask this question. Do you know if the rhogham shot has any adjuvants or preservatives to it? For someone with either mast cell or other allergy issues the additives and chemicals used to keep the shots mixed can cause severe reaction issues and immune system damage. Sometimes they can get shots special done with none of the additives and preservatives and given to the patient almost immediately once it's made. Just wondering if you know about any of this for rhogham? I have not researched this shot too much.
Unfortunately I just dispense it and know its purpose. It is a derivative of human plasma in individuals who are Rh neg and developed Anti D so I don't think it would be feasible to get it right after it is made. 0 -
Alyssa_Is_LosingIt wrote: »I am O- and hubby is AB+. I got the rhogam injection for both of my pregnancies, which is lucky because both of my boys have + blood types.
I understand having second thoughts since you have experienced allergic reactions in the past, but I wonder if a) you know what ingredients caused allergic reactions in vaccinations and b) if you know the name of the specific injection the doctor was planning to give you and whether you have allergies to the ingredients? Just for your reference, I believe this is the most recent formula:Principal Display Panel - 300 ug Carton
Rho(D) Immune Globulin (Human)
RhoGAM®
Ultra-Filtered PLUS – 300 µg Dose (1500 IU*)
Thimerosal-Free
*International Units
Do not store frozen
See Directions for Use
Package Contains:
•1 prefilled syringe containing a
single dose of RhoGAM
•1 control form
•1 package insert
•1 patient identification card
1 single dose
Active Ingredients
Anti-D Rho Immune Globulin (300 µg), the potency of
which is determined relative to the US/WHO/EP Standard
Anti-D Immunoglobulin Rho(D) Immune Globulin (Human)
CBER Lot 4: NIBSC Lot 01/572 (285 IU/ampoule)
Inactive ingredients
2.9 mg/mL sodium chloride
0.01% polysorbate 80
15 mg/mL glycine
Source: https://www.drugs.com/pro/rhogam-ultra-filtered-plus.html
It might help to figure out which ingredients could cause you problems and discuss your specific concerns with your OB. If you could get the injection without any adverse effects, it could help you avoid future heartache and difficulties if you do decide to have another baby.
Polysorbate 80 is a HUGE allergen for people with histamine issues. @elphie754 you are being very wise in this situation. Trust your instincts.....0 -
Unfortunately I just dispense it and know its purpose. It is a derivative of human plasma in individuals who are Rh neg and developed Anti D so I don't think it would be feasible to get it right after it is made.
Oh my gosh! I just realized this is very similar (if not the same but different name - which I'm suspecting) to one of the treatments they gave my son.
He got aseptic meningitis from it and was so ill it scared the crap out of us. He was in a coma like state for 3 days. It was one of the reasons we walked away from the doctors.
ETA: It IS exactly the same.
"WinRho ® SDF is an Rh o(D) Immune Globulin Intravenous (Human) (anti-D) product that is indicated for the treatment of ITP in Rh o(D)-positive patients and for the suppression of Rh isoimmunization in non-sensitized Rh o(D)-negative patients." - drugs.com0 -
I had it during my pregnancy like 3 times. I am A- and my husband is O+. I spotted throughout the pregnancy and every time that happened I had to get another shot. I also got one right after I gave birth too. I didn't have any issues at all.0
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ronjsteele1 wrote: »Alyssa_Is_LosingIt wrote: »I am O- and hubby is AB+. I got the rhogam injection for both of my pregnancies, which is lucky because both of my boys have + blood types.
I understand having second thoughts since you have experienced allergic reactions in the past, but I wonder if a) you know what ingredients caused allergic reactions in vaccinations and b) if you know the name of the specific injection the doctor was planning to give you and whether you have allergies to the ingredients? Just for your reference, I believe this is the most recent formula:Principal Display Panel - 300 ug Carton
Rho(D) Immune Globulin (Human)
RhoGAM®
Ultra-Filtered PLUS – 300 µg Dose (1500 IU*)
Thimerosal-Free
*International Units
Do not store frozen
See Directions for Use
Package Contains:
•1 prefilled syringe containing a
single dose of RhoGAM
•1 control form
•1 package insert
•1 patient identification card
1 single dose
Active Ingredients
Anti-D Rho Immune Globulin (300 µg), the potency of
which is determined relative to the US/WHO/EP Standard
Anti-D Immunoglobulin Rho(D) Immune Globulin (Human)
CBER Lot 4: NIBSC Lot 01/572 (285 IU/ampoule)
Inactive ingredients
2.9 mg/mL sodium chloride
0.01% polysorbate 80
15 mg/mL glycine
Source: https://www.drugs.com/pro/rhogam-ultra-filtered-plus.html
It might help to figure out which ingredients could cause you problems and discuss your specific concerns with your OB. If you could get the injection without any adverse effects, it could help you avoid future heartache and difficulties if you do decide to have another baby.
Polysorbate 80 is a HUGE allergen for people with histamine issues. @elphie754 you are being very wise in this situation. Trust your instincts.....
I would still think it wise to discuss her concerns with her OBGYN.0 -
I had one for both of my kids as hubby is + and I am -. I think maybe one during pregnancy and one post-delivery. Both my kids were born -.0
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For the record, sensitization is about pregnancy, not about births, so you need to be considering whether this is your first pregnancy even if this will be your first child.2
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"Right now I can't even think about have another one lol. After this we are going to explore other versions of birth control (I can't take the pill because numerous ones have made me sick). OB suggested nuva ring after baby is born..."
(Phone can't get this to quote right
).
I've had Rhogam with all 4 babies (only one ended up being Rh-), and second the advice to consider getting it after birth, even if you're not planning future pregnancies. You never know--your circumstances may change in the future (I never thought I'd want 4 when I was pregnant with no1, nor for at least a year afterward, that's for sure!)
As for bc, have you looked into natural methods? I use a combination of Marquette method and sympto-thermal method natural family planning (and chart with the Kindara app). Effective, even post partum while nursing, and drug-free, so no risk of side effects.
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At least have your baby typed at birth. Nuva ring is not permanent. Nuva ring fails. I would say, if this baby is positive, get the shot just in case. BUT, at least you will know, and if your birth control fails or you do decide to be pregnant again, you'll know. You and your ob at that point can decide together what the best course of action is.
What would likely happen, is they would want you to take it in a controlled environment - IE stay to be supervised for like an hour.
I understand that you don't want more children. But, you're not choosing permanent birth control. You may change your mind later or your birth control may fail. At least know your daughters Rh status.0 -
Alyssa_Is_LosingIt wrote: »ronjsteele1 wrote: »Alyssa_Is_LosingIt wrote: »I am O- and hubby is AB+. I got the rhogam injection for both of my pregnancies, which is lucky because both of my boys have + blood types.
I understand having second thoughts since you have experienced allergic reactions in the past, but I wonder if a) you know what ingredients caused allergic reactions in vaccinations and b) if you know the name of the specific injection the doctor was planning to give you and whether you have allergies to the ingredients? Just for your reference, I believe this is the most recent formula:Principal Display Panel - 300 ug Carton
Rho(D) Immune Globulin (Human)
RhoGAM®
Ultra-Filtered PLUS – 300 µg Dose (1500 IU*)
Thimerosal-Free
*International Units
Do not store frozen
See Directions for Use
Package Contains:
•1 prefilled syringe containing a
single dose of RhoGAM
•1 control form
•1 package insert
•1 patient identification card
1 single dose
Active Ingredients
Anti-D Rho Immune Globulin (300 µg), the potency of
which is determined relative to the US/WHO/EP Standard
Anti-D Immunoglobulin Rho(D) Immune Globulin (Human)
CBER Lot 4: NIBSC Lot 01/572 (285 IU/ampoule)
Inactive ingredients
2.9 mg/mL sodium chloride
0.01% polysorbate 80
15 mg/mL glycine
Source: https://www.drugs.com/pro/rhogam-ultra-filtered-plus.html
It might help to figure out which ingredients could cause you problems and discuss your specific concerns with your OB. If you could get the injection without any adverse effects, it could help you avoid future heartache and difficulties if you do decide to have another baby.
Polysorbate 80 is a HUGE allergen for people with histamine issues. @elphie754 you are being very wise in this situation. Trust your instincts.....
I would still think it wise to discuss her concerns with her OBGYN.
Already have, along with my allergist. No rhogram unless there is a chance of bleeding (which there hasn't been). After baby is born, they are going to type and screen her, and only if she is Rh + will I getthe rhogram (after being pretreated with Benadryl and steroids).
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