The course, pregnancy and childbirth. The course of pregnancy in Rh-sensitized women has a number of features. Pregnant women often complain of general weakness, drowsiness, lack of air, momentary loss of consciousness, frequent abdominal pain. In Rh- immunized pregnant toxicosis often (50%) developed in the first half of pregnancy, the threat of termination of pregnancy (47%), hypotension (23%). In the second half of pregnancy edema observed in 13% of women with pre-eclampsia in 16%, anemia is also common. In addition, there may be disturbances of liver function. From the fruit notes chronic fetal hypoxia.
All pregnant the first time you visit the doctor determine group and Rh blood affiliation In patients with Rh-negative blood should, from the earliest periods to carry out a blood test for antibodies and determine their titer: up to 20 weeks. 1 pregnancy once a month after 20 weeks.
In the absence of antibodies to 28 weeks of pregnancy, many researchers recommend pregnant women with Rh-negative blood prophylactically administered intramuscularly 300mg Rh Ig, which can block the Rh antibodies. It is important that the preparation containing the antibody does not pass through the placenta.