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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