A couple with Rh + female and Rh-male went for counseling of pregnancy. What should be advised -
Ans. is 'a' i.e.. No treatment is needed o Hemolytic disease of newborn is seen in couples when the female is Rh (-ve) and male is Rh (+ve); since the female has capacity to develop antibodies against the D antigen if fetomaternal hemorrhage takes place incase when the fetus is Rh(+ve). o But if mother is Rh+ then her immune system is already tolerant to D antigen and thus even if fetomaternal hemorrhage occurs and the fetus is Rh + no antibodies are developed and there is no risk for the fetus of subsequent pregnancies to develop hemolytic disease of newborn. So no treatment is required by the couple in question.
No treatment is needed
Vaccine to mother on first baby
Vaccine to first baby
Vaccine to father