Have you ever had a woman decline Rogam?

And if so, why?

Or Courtney, did you think about declining?

Is there anything about Rogam that gives anyone pause?

Courtney, you had Rogam after the birth of your first child.

Yes.

And Jessica, you're saying that the administration of Rogam in these situations is basically like 99.9% effective.

Yes, because of how specific it is and how great it is in controlling the immune response against the fetus.

They go in and do an intrauterine blood transfusion. It was at 24 weeks when that measurement in the baby's brain was

elevated and they recommended a transfusion. And despite knowing everything that might happen,

I was so prepared, it was still an emotional rollercoaster. I'm Cynthia Overgard,

owner of hypnoborthing of Connecticut, childbirth advocate, and postpartum support specialist. And I'm Tresgard, owner of Hypniburthing of Connecticut, Childbirth Advocate, and Postpartum Support Specialist.

And I'm Trescia Ludwig, certified nurse midwife and international board-certified lactation consultant.

And this is the Down to Birth podcast.

Childbirth is something we're made to do, but how do we have our safest and most satisfying

experience in today's medical culture? Let's dispel the myths and get down to birth.

So I'm Courtney Yeager and I have three boys.

And I'm about to share my journey through my three pregnancies dealing with iso-allo immunization.

Which is a condition that develops when an RH negative mother has an RH positive partner and the baby in utero also

has a positive blood type. Okay, I have two questions. One, when you say RH negative and

RH positive, is that when there's a minus or a plus after someone's blood type. So we're not talking about someone who's blood type A.

We're talking only if someone is A positive or O negative, any blood type, but if it only has

...