Rh Isoimmunized Pregnancy—Do Maternal Antibody Titre Always Correlate with the Fetal Affection? A Non-Invasive Management

Divyesh V. Shukla, Shilpi D. Shukla, Ajay Valia, Yesha Chokshi
2018 Open Journal of Obstetrics and Gynecology  
This case is of Rh −ve 2 nd gravida having antibody titre detected 1:2 at 8 weeks of 2 nd pregnancy. Serial antibody titre carried out along with clinical examination. Fetal monitoring was done by assessing MCA-PSV (Middle cerebral artery peak systolic velocity) and CTG (Cardiotocograph) when required. Pregnancy was terminated when the titre reached 1:512 at 34 wks of pregnancy with abnormal MCA-PSV values. Neonate just had begun to show sign of anaemia & haemolysis at birth.
doi:10.4236/ojog.2018.83020 fatcat:r3z43d6pvzgcbfwuqulvawwv3a