Rh sensitization after third-trimester fetal death
Stedman, C.M.; Quinlan, R.W.; Huddleston, J.F.; Cruz, A.C.; Kellner, K.R.
Obstetrics and Gynecology 71(3 Part 2): 461-463
1988
ISSN/ISBN: 0029-7844 PMID: 3126471 Document Number: 320151
Three primigravidas developed Rh sensitization after unexplained third-trimester fetal death. One patient manifested sensitization after the diagnosis of fetal death had been made but before delivery occurred. The other two demonstrated anti-D antibodies early in the next pregnancy, despite having received postpartum Rh immunoglobulin. Unsensitized Rh-negative women with unexplained third-trimester fetal death should be screened routinely for fetomaternal hemorrhage when fetal death is discovered, so that adequate prophylaxis against Rh sensitization can be given.