TITLE:
Rh Isoimmunized Pregnancy—Do Maternal Antibody Titre Always Correlate with the Fetal Affection? A Non-Invasive Management
AUTHORS:
Divyesh V. Shukla, Shilpi D. Shukla, Ajay Valia, Yesha Chokshi
KEYWORDS:
Rh -Ve, Rh +Ve, MCA-PSV, CTG, Rh Isoimmunization, Rh Antibody Titre
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.3,
March
9,
2018
ABSTRACT: This case is of Rh -ve 2nd gravida having antibody titre detected 1:2 at 8 weeks
of 2nd 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.