All of the following are indications for Anti D prophylaxis, EXCEPT:
Anti D prophylaxis is not given after intrauterine transfusion. Intrauterine transfusion is done to prevent the fetus from dying. If the hydropic fetus is too immature for early delivery, intrauterine transfusion is done. Transfusion is done through intraperitoneal and intravascular routes. This is performed using O-negative, cytomegalovirus negative, washed irradiated packed red cell. The volume to be transfused is roughly calculated by the formula: (weeks of gestation-20) multiplied by 10. Transfusion is repeated whenever fetal hemoglobin levels falls below 10gm/dl. Ref: Manual of Neonatal Care By John P. Clohey, 6th Edition, Pages 209-210 ; Textbook of Obstetrics By D.C.Dutta, 6th Edition, Page 334 ; Obstetrics and Gynaecology By Sarabatnam Arulkumaran, Page 68 ; COBGDT, 9th Edition, Page 299
Medical aboion for 63 days pregnancy
Amniocentesis at 16 weeks
Intrauterine transfusion at 28 weeks
Manual removal of Placenta