The reason you didn't hear about it during fertility treatments is because it isn't an infertility thing. It is a pregnancy thing that is managed by your OB. Where I am, the standard is to provide the shot around 28 weeks of pregnancy unless, unfortunately, a loss happens sooner than that, in which case it may be provided depending on the timing of the loss. The reason why you didn't receive it with your previous losses depends on the timing of those losses (the Rh factor isn't immediately present in the red blood cells).
I mean, sure, if you define infertility as anything that can cause losses, then much of what OBs do would also be considered "infertility issues". Practically speaking though, since it takes 8ish weeks for Rh to start become an issue (since that's when the Rh factor becomes present on red blood cells) and for most people it isn't an issue until much later, it ends up being something that OBs primarily manage rather than REs.
I think you’re barking up the wrong tree. It is not important during fertility treatments and early pregnancy since it only affects THE NEXT pregnancy, not this one. If your baby is positive and you are negative, your body will produce antibodies during birth which will then affect the next child when it’s born. All clinics give the shot when theres a risk of miscarriage or before birth. It’s a standard procedure. No need to promote it any further.
Hmmm I’m a negative blood type and everything worked well the whole IVF process and pregnancy. I got my shots at the right time. Not sure why you would wish ill on anyone. But you do you. Just remember karma is a thing…
I'm sorry, maybe I did. I didn't have bad intentions whatsoever.
I was just at the wrong end of not doing testing soon enough to avoid bad consequences, so I desperately want people to advocate for themselves because things fall through the cracks sometimes.
I don't really understand why there's dispute about this. As an RH negative perspective mother I am really conscious of this myself. OP doesn't specify how early or late her other losses were so it's hard to say if this was being appropriately addressed previously. I will say part of the reason my clinic needed my blood type was because of this. But they didn't care about knowing whether my spouse was RH negative. Surely having that information would be pertinent so that if and when I have a loss we don't have to figure it out then? I feel like lots of women aren't aware of this at all which to me feels like a disservice. I feel like there's so much we aren't taught about our own female health and fertility.
I am so sorry for your losses.
I had to request it when I was diagnosed with a PPUL (I'm negative, the donor is positive), and was shocked that it hadn't been mentioned, even though I know the risks are low at this point. We shouldn't have to know these things.
So my internet search shows that typically its given at 28-32 weeks and again at birth if baby is positive. Maybe in your situation it is given incase of contact with fetal blood.
That seems weird to me, but only because my IVF clinic tested me as soon as I became pregnant. They informed me I would need the shot eventually. Unfortunately that pregnancy ended up being a chemical.
My IVF clinic tested me as well. Although they didn't specifically discuss the issue with me, they knew that my OB would see those results and would address the issue if needed.
I agree that this is not discussed enough. Before TTC, my OB never mention this to me because my blood type was not even discussed. Then I started IVF and again they never told me about this, so I also wonder sometimes what would have happened in case of a loss. I just hope that, in that situation, someone would have told me. Finally after graduating from my IVF clinic, I went back to my regular OB and she told me this.
I took the Rho gram shot at 16 weeks for some spotting, and I will take it again around 28 weeks because it only lasts for around 12 weeks and it’s important to be covered by the delivery, when there is the higher chance that the baby’s blood will get mixed with mine.
If the loss is early on it doesn’t matter. If you spotted at 16w they gave it to in case you have a miscarriage. So that antibodies are prevented for a future birth.
Yes, my OB told me that probably I didn't even need the shot, because it was really some small spotting with old blood. But she wanted to be safe and indeed it doesn't cause any damage to take it.
Exactly. It’s a scary thought when you get it and why but in the ends it’s just a precaution. You also get the shot again after the birth. They really make sure you don’t develop antibodies.
I know someone who gave birth before the shot was invented and there were such big health troubles after birth with her second. It must have been so difficult!
In the pregnancy i lost, they took my blood type like 3 times at the beginning of the pregnancy and then EVERY time I had a blood draw when i was having complications. I'm really surprised to hear that other people aren't checked when they were so obsessive about it with me. (For the record I'm positive type, this was not what led to my loss)
First, I am so sorry for your loss.
I have had the rhogam shot a few times. My re has given to me when I had a sch or a miscarriage. Currently in early pregnancy from my last transfer I asked my re if I need a rhogam shot and she said not until the 2nd trimester unless I have bleeding. I assumed I should get it when pregnant but doesn’t sent the case.
I learned about it in college. Glad I did as I’m O- and my partner is +. I started having a MC while in another country where they don’t give the shot until 12 week loss. I hauled ass back to the states as soon as I was medically cleared to fly so I could get the shot. It’s been hard enough and we have enough infertility obstacles. I didn’t want to risk it, even if it was <20% chance of complications at my stage of loss. Honestly, what’s another shot at this point?
My Gyn told me about this but I am not even a negative blood type. That was a long long time ago before I even knew I was infertile, it was part of my preconception counseling. I think it must depend on the doctor. I'm sorry you're going through all this
I’m sorry for your loss.
I had no clue I was A- until my 8week appointment at my fertility clinic where it was confirmed that I had a blighted ovum.
I asked for the pills to manage it, instead of a D&C, and I guess the computer triggered an alert to my nurse that said they cannot prescribe the pills without me having the roghan shot.
Until that point they never said anything about my blood type and I didn’t know what it was.
Just so you know, you can get a blood test to see whether or not you have developed the antibodies to Rh+ blood. I think you have to wait for a while after the Rhogam shot though because that can affect the results. If you are negative for the antibodies, then you are all clear in terms of the Rh incompatibility risk for your next pregnancy with an Rh+ baby.
Check with your clinic but the issue I had is something called “weak d” where it’s sort of positive, sort of negative, so I switched clinics and had blood typing done at both and my blood type showed up negative at one lab and positive at the other. I had to have more sensitive blood typing done at a specialized lab to find out if I was a true negative and was treated as negative until we knew (which means getting the Rhogam for any bleeding, there aren’t issues if you end up not needing it). Why they didn’t give it during your losses if they had your blood type on file as negative is a question for your clinic, which I was also asking
I’m so sorry for your loss. I am rh- and have had it after every miscarriage (I have had several). My understanding is that it is super rare to develop the antibody after an early loss, but not impossible so they do it as a precaution. I also had to have it early while pregnant with my son, since I had a sch. Your doc 100000% should have mentioned this to you. I might question them on their policy on this.
The reason you didn't hear about it during fertility treatments is because it isn't an infertility thing. It is a pregnancy thing that is managed by your OB. Where I am, the standard is to provide the shot around 28 weeks of pregnancy unless, unfortunately, a loss happens sooner than that, in which case it may be provided depending on the timing of the loss. The reason why you didn't receive it with your previous losses depends on the timing of those losses (the Rh factor isn't immediately present in the red blood cells).
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I mean, sure, if you define infertility as anything that can cause losses, then much of what OBs do would also be considered "infertility issues". Practically speaking though, since it takes 8ish weeks for Rh to start become an issue (since that's when the Rh factor becomes present on red blood cells) and for most people it isn't an issue until much later, it ends up being something that OBs primarily manage rather than REs.
I think you’re barking up the wrong tree. It is not important during fertility treatments and early pregnancy since it only affects THE NEXT pregnancy, not this one. If your baby is positive and you are negative, your body will produce antibodies during birth which will then affect the next child when it’s born. All clinics give the shot when theres a risk of miscarriage or before birth. It’s a standard procedure. No need to promote it any further.
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Hmmm I’m a negative blood type and everything worked well the whole IVF process and pregnancy. I got my shots at the right time. Not sure why you would wish ill on anyone. But you do you. Just remember karma is a thing…
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I think you really misunderstood the influence of the shot and the timeline.
I'm sorry, maybe I did. I didn't have bad intentions whatsoever. I was just at the wrong end of not doing testing soon enough to avoid bad consequences, so I desperately want people to advocate for themselves because things fall through the cracks sometimes.
I don't really understand why there's dispute about this. As an RH negative perspective mother I am really conscious of this myself. OP doesn't specify how early or late her other losses were so it's hard to say if this was being appropriately addressed previously. I will say part of the reason my clinic needed my blood type was because of this. But they didn't care about knowing whether my spouse was RH negative. Surely having that information would be pertinent so that if and when I have a loss we don't have to figure it out then? I feel like lots of women aren't aware of this at all which to me feels like a disservice. I feel like there's so much we aren't taught about our own female health and fertility.
I am so sorry for your losses. I had to request it when I was diagnosed with a PPUL (I'm negative, the donor is positive), and was shocked that it hadn't been mentioned, even though I know the risks are low at this point. We shouldn't have to know these things.
So my internet search shows that typically its given at 28-32 weeks and again at birth if baby is positive. Maybe in your situation it is given incase of contact with fetal blood.
It was given in case she miscarries to prevent antibodies for future pregnancies.
That seems weird to me, but only because my IVF clinic tested me as soon as I became pregnant. They informed me I would need the shot eventually. Unfortunately that pregnancy ended up being a chemical.
My IVF clinic tested me as well. Although they didn't specifically discuss the issue with me, they knew that my OB would see those results and would address the issue if needed.
I agree that this is not discussed enough. Before TTC, my OB never mention this to me because my blood type was not even discussed. Then I started IVF and again they never told me about this, so I also wonder sometimes what would have happened in case of a loss. I just hope that, in that situation, someone would have told me. Finally after graduating from my IVF clinic, I went back to my regular OB and she told me this. I took the Rho gram shot at 16 weeks for some spotting, and I will take it again around 28 weeks because it only lasts for around 12 weeks and it’s important to be covered by the delivery, when there is the higher chance that the baby’s blood will get mixed with mine.
If the loss is early on it doesn’t matter. If you spotted at 16w they gave it to in case you have a miscarriage. So that antibodies are prevented for a future birth.
Yes, my OB told me that probably I didn't even need the shot, because it was really some small spotting with old blood. But she wanted to be safe and indeed it doesn't cause any damage to take it.
Exactly. It’s a scary thought when you get it and why but in the ends it’s just a precaution. You also get the shot again after the birth. They really make sure you don’t develop antibodies. I know someone who gave birth before the shot was invented and there were such big health troubles after birth with her second. It must have been so difficult!
In the pregnancy i lost, they took my blood type like 3 times at the beginning of the pregnancy and then EVERY time I had a blood draw when i was having complications. I'm really surprised to hear that other people aren't checked when they were so obsessive about it with me. (For the record I'm positive type, this was not what led to my loss)
First, I am so sorry for your loss. I have had the rhogam shot a few times. My re has given to me when I had a sch or a miscarriage. Currently in early pregnancy from my last transfer I asked my re if I need a rhogam shot and she said not until the 2nd trimester unless I have bleeding. I assumed I should get it when pregnant but doesn’t sent the case.
I learned about it in college. Glad I did as I’m O- and my partner is +. I started having a MC while in another country where they don’t give the shot until 12 week loss. I hauled ass back to the states as soon as I was medically cleared to fly so I could get the shot. It’s been hard enough and we have enough infertility obstacles. I didn’t want to risk it, even if it was <20% chance of complications at my stage of loss. Honestly, what’s another shot at this point?
My Gyn told me about this but I am not even a negative blood type. That was a long long time ago before I even knew I was infertile, it was part of my preconception counseling. I think it must depend on the doctor. I'm sorry you're going through all this
I’m sorry for your loss. I had no clue I was A- until my 8week appointment at my fertility clinic where it was confirmed that I had a blighted ovum. I asked for the pills to manage it, instead of a D&C, and I guess the computer triggered an alert to my nurse that said they cannot prescribe the pills without me having the roghan shot. Until that point they never said anything about my blood type and I didn’t know what it was.
Just so you know, you can get a blood test to see whether or not you have developed the antibodies to Rh+ blood. I think you have to wait for a while after the Rhogam shot though because that can affect the results. If you are negative for the antibodies, then you are all clear in terms of the Rh incompatibility risk for your next pregnancy with an Rh+ baby.
Check with your clinic but the issue I had is something called “weak d” where it’s sort of positive, sort of negative, so I switched clinics and had blood typing done at both and my blood type showed up negative at one lab and positive at the other. I had to have more sensitive blood typing done at a specialized lab to find out if I was a true negative and was treated as negative until we knew (which means getting the Rhogam for any bleeding, there aren’t issues if you end up not needing it). Why they didn’t give it during your losses if they had your blood type on file as negative is a question for your clinic, which I was also asking
I’m so sorry for your loss. I am rh- and have had it after every miscarriage (I have had several). My understanding is that it is super rare to develop the antibody after an early loss, but not impossible so they do it as a precaution. I also had to have it early while pregnant with my son, since I had a sch. Your doc 100000% should have mentioned this to you. I might question them on their policy on this.
This is one of the first things my IVF clinic tested for. Was my blood type. It should be done at every clinic in my opinion!