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Down to Birth

#211 | Declining RhoGAM: A Conversation with Two Rh-Negative Women

Down to Birth

Cynthia Overgard & Trisha Ludwig

Pregnancy, Childbirth, Postpartum, Midwives, Alternative Health, Home Birth, Society & Culture, Newborn, Documentary, Hypnobirthing, Kids & Family, Health & Fitness, Breastfeeding, Pregnant, Birth, Maternity, Motherhood

4.8586 Ratings

🗓️ 3 May 2023

⏱️ 46 minutes

🧾️ Download transcript

Summary

RhoGAM or Anti-D is a blood product offered to pregnant women with an Rh-negative blood type who have conceived with an Rh-positive father. The use of RhoGAM is said to significantly reduce the chances of the mother becoming sensitized to a future baby if the current baby she is carrying has an Rh-positive blood type. The RhoGAM injection is routinely offered to all Rh-negative women, despite that it is not always needed, comes with certain side effects, and isn't 100% effective. ...

Transcript

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0:00.0

So I messaged the nurse back and I said, we're going to get my husband's blood type tested.

0:07.8

We don't know.

0:08.9

And to determine if I need this shot or not.

0:11.3

And the nurse replied to me and said, we still recommend even if your husband is negative that you get Rogam because we don't know that he's the father.

0:20.1

And it's really important for mothers to know

0:22.6

that this is not like a black and white just because your negative doesn't mean you have to have

0:27.8

the shot there. There are a couple different places along the way where you can check in and

0:31.8

determine if this is even a relevant conversation for you. When we went in the morning to get my DNC, I brought it up to the nurse.

0:39.6

I said, hey, I have this rash. I think it's from Rogam. I'd like to talk to the doctor about it.

0:44.2

And she, the OB at the time, said, we have no evidence that this is from Rogam. We've never seen

0:49.5

that. I don't think it's related. And she downplayed a reaction to the shot that was listed on the insert.

0:55.9

Why ever give it in pregnancy and face those risks if it can be given postpartum? What am I missing here?

1:03.4

I'm Cynthia Overgard, owner of hypnibrething of Connecticut, childbirth advocate, and postpartum

1:08.6

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

1:16.4

And this is the down-to-birth podcast.

1:21.0

Childbirth is something we're made to do, but how do we have our safest and most satisfying experience in today's medical culture?

1:27.9

Let's dispel the myths and get down to birth.

1:40.5

Kelsey and Emily, thank you both for being here with me and Trisha today to talk about your

1:45.4

respective choices around the Rogam shot.

1:48.3

This episode was precipitated by an email that Trisha and I received from Kelsey after episode

1:54.6

188, which we released in fall of 2022, in which we featured a mom who did have Rogam. And in her case, the shot did not

2:03.4

prevent sensitization. And her baby did become sensitized. So Kelsey shared some really, we thought,

...

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