Podcasts about rhogam

Send us a textAnnouncement: Between now and year-end, we will be releasing a 50/50 mixture of new episodes interspersed with old-favorites, due to the sudden loss of Cynthia's husband in November. We have a new episode coming next week, and will be back to our usual production schedule by New Year's. If you'd like to donate a gift to the GoFundMe that was set up for Cynthia and her family, you may do so here. Thank you to everyone for your beautiful messages, gifts and prayers.Please keep an eye out for new content and an expanded Down to Birth platform on Patreon, including a new Community feature where listeners can post questions for us and each other. To join and gain instant access to our entire library of video content, go to our Patreon and sign up.Onto the show:For this December Q&A, we kick it off, with a follow-up conversation based on one listener's response to  episode #188 on RhoGAM. Next, we jump into our questions discussing the actual risks of going past 24 hours or ruptured membranes without contractions and how you can mitigate those risks. We break down why meconium becomes more concerning after 42 weeks gestation and what those actual risks are. One mother who has the flu in the third trimester wonders if this is harmful to her baby and what she should do about it; another mom is curious if it is more helpful or hurtful to use assistance to birth her placenta and questions if a hep-lock or IV port is really necessary in labor. Furthermore, is vitamin D supplementation truly necessary for breastfed babies? Also, we discuss how to accurately calculate your due date based on your specific menstrual cycle, not the average cycle. We discuss delayed cord clamping and where to clamp the cord, two-vessel cords and the implications for induction and the safety of home-birth with midwives who have restricted access to emergency medications. Additionally, we have a great quickies segment on pregnancy headaches, aging placentas, newborn rashes, breast changes in pregnancy, cold-plunging postpartum, water birth and infections and whether or not sleep training babies is really needed.Remember you can hang with us twice a month during our interactive and educational livestream for our Patreon community members!Thanks for joining us, and remember you can call our phone line with your questions 24/7 at 802-GET-DOWN. (That's 802-438-3696) Connect with us on Patreon for our exclusive content.Email Contact@DownToBirthShow.comInstagram @downtobirthshowCall us at 802-GET-DOWN Work with Cynthia: 203-952-7299 HypnoBirthingCT.com Work with Trisha: 734-649-6294 Please remember we don't provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

Laboring Under Pressure Episode 4: Obstetric Emergency in South Africa with Dr. Meghan Hurley Contributors: Meghan Hurley MD, Travis Barlock MD, Jeffrey Olson MS3 Show Pearls Map of South Africa Referenced South Africa Geography Lesson There is a big disparity between Cape Town and its neighbor Khayelitsha. Cape Town is the legislative capital and economic hub of South Africa, known for its infrastructure, tourist attractions, and developed urban areas. Khayelitsha Township is a large informal settlement on the outskirts of Cape Town, with limited infrastructure and services compared to the city center. Many residents live in informal housing. This disparity is the lasting effect of how land was divided up and populations were moved around during Apartheid. Apartheid was a policy of segregation that lasted from 1948 to 1994. How does medical education work in South Africa? Medical education in South Africa typically follows a 6-year undergraduate program directly after high school Registrars our the equivalent of Resident in America. They are graduated doctors who work in hospitals under the supervision of senior doctors as they progress toward becoming specialists. Pearls from the case and the discussion afterward Whole blood from a draw can be used instead of urine on a POC pregnancy test. Wait a little bit longer before making a determination because blood is more viscous. Although the casettes are not approved for whole blood several studies have shown this to be efficacious. Free fluid in the abdomen and a pregnancy of unknown location is a rupture ectopic until proven otherwise. Appendicitis can present on the left side. Most commonly from an extra appendix, but can also result from situs inversus or mid-gut malrotation. This presentation can also be the result of an atypically large appendix. Fever is common in appendicitis (~40%) and becomes less common with older patients. Don't be falsely reassured by a normal hemoglobin in acute bleeding because patients bleed whole blood and the hemoglobin concentration is not affected. These patients should be resuscitated with whole blood. Give rhesus factor negative blood to female patients of childbearing age to prevent them from developing antibodies to the rhesus factor which can lead to Rh disease in future pregnancies. Rhogam can be given in cases of ruptured ectopic pregnancies to lower the risk of alloimmunization. Blood transfusions carry the risk of lung and heart injury from the extra volume. The treatment for this condition is to diurese the patient. Other topics discussed include the complications of working in a South African township hospital at night, the epidemiology of burns, and the importance of global health.   References Akbulut S, Ulku A, Senol A, Tas M, Yagmur Y. Left-sided appendicitis: review of 95 published cases and a case report. World J Gastroenterol. 2010 Nov 28;16(44):5598-602. doi: 10.3748/wjg.v16.i44.5598. PMID: 21105193; PMCID: PMC2992678. Barash, J. H., Buchanan, E. M., & Hillson, C. (2014). Diagnosis and management of ectopic pregnancy. American family physician, 90(1), 34–40. Fromm C, Likourezos A, Haines L, Khan AN, Williams J, Berezow J. Substituting whole blood for urine in a bedside pregnancy test. J Emerg Med. 2012 Sep;43(3):478-82. doi: 10.1016/j.jemermed.2011.05.028. Epub 2011 Aug 27. PMID: 21875776. Moris, D., Paulson, E. K., & Pappas, T. N. (2021). Diagnosis and Management of Acute Appendicitis in Adults: A Review. JAMA, 326(22), 2299–2311. https://doi.org/10.1001/jama.2021.20502 Sowder AM, Yarbrough ML, Nerenz RD, Mitsios JV, Mortensen R, Gronowski AM, Grenache DG. Analytical performance evaluation of the i-STAT Total β-human chorionic gonadotropin immunoassay. Clin Chim Acta. 2015 Jun 15;446:165-70. doi: 10.1016/j.cca.2015.04.025. Epub 2015 Apr 25. PMID: 25916696.   Produced by Jeffrey Olson, MS3 | Edited by Jeffrey Olson and Jorge Chalit, OMSIII

I get a lot of questions from moms about RhoGAM and until now I haven't really addressed it, so I thought today would be a good time to give you the basics of Rhogam so you can know for yourself whether this is a subject you need to learn more about.  We'll talk about rhesus blood types, who may need RhoGAM to prevent possible sensitization during pregnancy and after birth, and how sensitization works. Recommended Book - Anti D Explained by Dr. Sara Wickham --> https://amzn.to/4eQ5bg5 **If you are a pregnant woman in eastern Tennessee or western North Carolina and you need help or care, PLEASE CONTACT ME at lori@yourbirthgodsway.com**   SPECIAL - Now through 10/31, take 10% off of the entire Online Christian Childbirth Education Course with promo code "helene" because you MUST prepare yourself! You never know when disaster may come your way and you can't have the things you planned to have for your birth and feeding your baby!!! --> go.yourbirthgodsway.com/cec  and then enter code "helene" in the summary box at checkout!   Helpful Links:   3 WAYS TO WORK WITH LORI: --> Sign up HERE for the Your Birth, God's Way Online Christian Childbirth Course or go to go.yourbirthgodsway.com/cec! This is a COMPLETE childbirth education course with a God-led foundation taught by a certified nurse-midwife with over 20 years of experience in all sides of the maternity world! Learn more or sign up HERE! —> Having a home birth and need help getting prepared?  Sign up HERE for the Home Birth Prep Course or go to homebirthprep.com --> Sign up for your PERSONALIZED Pregnancy Coaching Midwife & Me Power Hour HERE or go to go.yourbirthgodsway.com/powerhour These consults can include: birth plan consultation, past birth processing, second opinions, breastfeeding consultation, and so much more!  Think of it as a special, one-hour appointment with a midwife to discuss whatever your concerns may be without any bias of practice policy or insurance policy influencing recommendations.   Get Christian pregnancy and birth merch HERE (https://go.yourbirthgodsway.com/store)   Lori's Recommended Resources HERE (go.yourbirthgodsway.com/resources)   Sign up for email updates Here   Be heard! Take My Quick SURVEY to give input on future episodes you want to hear --> https://bit.ly/yourbirthsurvey   Got questions?  Email lori@yourbirthgodsway.com     Socials: Follow Your Birth, God's Way on Instagram!c @yourbirth_godsway Follow the Your Birth, God's Way Facebook Page! fb.com/lorimorriscnm Join Our Exclusive Online Birth Community -- facebook.com/groups/yourbirthgodsway   Learn more about Lori and the podcast at yourbirthgodsway.com!   FREE Bible Study Course - How To Be Sure Of Your Salvation --> https://the-ruffled-mango-school.teachable.com/p/how-to-be-sure-of-your-salvation     DISCLAIMER:  Remember that though I am a midwife, I am not YOUR midwife.  Nothing in this podcast shall; be construed as medical advice.  Listening to this podcast does not mean that we have entered into a patient-care provider relationship. While I strive to provide the most accurate information I can, content is not guaranteed to be 100% accurate.  You must do your research and consult other reputable sources, including your provider, to make the best decision for your own care.  Talk with your own care provider before putting any information here into practice.  Weigh all risks and benefits for yourself knowing that no outcome can be guaranteed.  I do not know the specific details about your situation and thus I am not responsible for the outcomes of your choices.    Some links may be affiliate links which provide me a small commission when you purchase through them.  This does not cost you anything at all and it allows me to continue providing you with the content you love.

In this episode, we're exploring the fascinating science of blood types and blood incompatibility in pregnancy. You'll learn about the basics of blood types, how they are inherited, and why knowing your blood type is crucial—especially during pregnancy. Rebecca and Sara also discuss the implications of Rh incompatibility, ABO incompatibility, and other rare blood types on maternal and fetal health. (17:15) Rhogam Injection: Preventing Rh Incompatibility Complications (18:23) Hemolytic Disease of the Newborn: RH Incompatibility (20:24) Rh Sensitization: Newborn Hemolytic Complications (21:33) Rh Incompatibility Risk in Pregnancy Testing (22:45) Global Shortages Impacting Postpartum Rhogam Access (25:15) ABO Incompatibility Impact in Pregnancy (35:44) Critical Need for Anti D Immunoglobulin Access (35:44) RhoGAM: Preventing Newborn Disease through Donations   For the full list of references and resources, visit the EBB website here!   For more information about Evidence Based Birth and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

SummaryIn this episode we chat with Dr. Romy Ghosh about what pregnancy care looks like when under the care of an Obstetrician. She chimes in on routine tests and procedures in pregnancy, including dating ultrasounds, prenatal labs, and genetic testing. She explains the importance of these tests and how they help monitor the health of both the mother and baby. Dr. Ghosh also talks about the vaccines offered during pregnancy, such as Tdap, RSV, and flu vaccinations. She highlights the role of RhoGAM in preventing complications for Rh-negative mothers. The conversation emphasizes the importance of patient education and the benefits of collaborative care with doulas. In this conversation, Dr. Romy Ghosh discusses various aspects of prenatal care and what patients can expect during pregnancy and childbirth. She emphasizes the importance of individualized care and shared decision-making, highlighting the need for patients to find a provider who aligns with their preferences and values. Dr. Ghosh also discusses the significance of certain tests and procedures, such as the 20-week scan and gestational diabetes testing. She explains the routine procedures during labor and the immediate postpartum period, including the administration of postpartum Pitocin and vitamin K. Overall, the conversation emphasizes the importance of trust, communication, and personalized care in ensuring a positive birthing experience.  TakeawaysRoutine tests and procedures in pregnancy include dating ultrasounds, prenatal labs, and genetic testing.Vaccines offered during pregnancy include Tdap, RSV, and flu vaccinations.RhoGAM is important for Rh-negative mothers to prevent complications.Patient education is crucial in understanding the purpose and benefits of these tests and vaccines.Collaborative care with doulas can provide additional support and guidance throughout pregnancy. Finding a provider who offers individualized care and aligns with your preferences is crucial for a positive birthing experience.Certain tests and procedures, such as the 20-week scan and gestational diabetes testing, are highly recommended for their potential to detect abnormalities and ensure the well-being of both the mother and baby.During labor, routine procedures include monitoring vital signs, checking the cervix, and administering postpartum Pitocin to prevent postpartum hemorrhage.The immediate postpartum period involves evaluating the placenta, assessing for tearing, and administering erythromycin, vitamin K, and hepatitis B vaccination to the baby.Open communication, trust, and shared decision-making between the patient and provider are essential for a positive birthing experience.Patients should research and interview potential providers and consider seeking recommendations from labor and delivery nurses.  Dr. Romy Ghosh, MD, FACOG can be found on Instagram here: @dr.romyghoshwww.austinregionalclinic.com/doctors/romy-ghosh  Thank you to our sponsor, Birth, Baby! Academy. You can find them at www.BirthBabyAcademy.comPlease feel free to reach out to us with any recommendations for show episode ideas. If you'd like to be a guest, email us with some information about yourself and what type of podcast you'd like to record together. Thank you for all of your support and don't forget to follow and review our podcast, Birth, Baby!  Instagram: @‌BirthBabyPodcastEmail: BirthBabyPodcast@gmail.comWebsite: https://birthbabypodcast.transistor.fm/  Intro and Outro music by Longing for Orpheus. You can find them on Spotify! (00:00) - Routine Tests and Procedures in Pregnancy (19:40) - Vaccines During Pregnancy (21:49) - RhoGAM for Rh-Negative Mothers (25:07) - Patient Education and Empowerment (26:02) - The Importance of Individualized Care and Shared Decision-Making (27:59) - Key Tests and Procedures in Prenatal Care (30:24) - The Significance of the 20-Week Scan (32:42) - Routine Procedures During Labor (36:19) - The Role of Trust, Communication, and Personalized Care (42:32) - The Immediate Postpartum Period (45:23) - Finding the Right Provider

In the 1930's (and before), there was a mysterious cause of infant mortality. An astonishing number of newborns were victim to a mismatch between their blood type, and that of their mothers. Doctors at the time were not sure why this was happening. This is the story of the discovery of the cure for that condition and a man who went above and beyond for six decades to help prevent it in his part of the world.Sources:-https://en.wikipedia.org/wiki/James_Harrison_(blood_donor)-https://www.cnn.com/2018/05/11/health/james-harrison-blood-donor-retires-trnd/index.html-https://www.washingtonpost.com/news/to-your-health/wp/2018/05/12/for-six-decades-the-man-with-the-golden-arm-donated-blood-and-saved-2-4-million-babies/-https://www.npr.org/2015/06/14/414397424/man-with-the-golden-arm-donates-blood-thats-saved-2-million-babies-https://en.wikipedia.org/wiki/Rh_disease ----- Patreon Page (support the show) -----Submit a Question for Non-Medical Advice Segment (website form with instructions)-----Podcast Linktree (social media links / reviews / ratings)-----DrMqx (follow Dr. Max on Twitch)

Join Loren Sofia, Functional Fertility Coach and owner of Innate Fertility, and Annie Kerchief, best known as mom.mindfully on Instagram, mother of two and an incredibly informed and outspoken advocate for mothers, as they discuss various pregnancy interventions.In this episode, you'll learn about:Annie's personal experience going past her due date, past 42 weeksAnnie's planned freebirth contingencyMaking decisions out of fear versus taking responsibilityWhat it means to truly surrenderFollowing your intuition and exercising it as a muscleWhat you should know regarding pregnancy inteversions, including:UltrasoundsNIPSAmniocentesisRhogamIron testingGlucose tolerance testingGroup B strepNavigating the decision-making process during pregnancyEpisode Links:Annie's IG: @mom.mindfullyNY Times Article on NIPS: https://www.nytimes.com/2022/04/20/upshot/prenatal-genetic-tests-warning.htmlLoren's Fertility & Pregnancy Journey: More Resources

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:    Jami: Dr. Cabral, I look forward to your podcasts daily, and the functional medicine research that you provide. I am a registered dietitian and have clients asking about GHK copper peptide patches. There is a company called "Livewave" that sells small patches, and claims to use phototherapy and accupuncture within the patches, to trap infrared energy when placed on the body. I suspect just an MLM to be researched with discernment but have you discussed this at some point? I know you talk some of red light and infrared therapies, but can you tell me what is the most researched phototherapy, and whether or not to your knowledge, these patches would even have logic behind them? Thank you so much for your help.   Alexia Hi Dr. Cabral! Been working with your team a few months now and just want to thank you all for helping me get back to normal after my ectopic pregnancy and balancing my hormones. I wanted to ask your thoughts on the Rhogam shot they are telling me I will have to get in my future pregnancies because of my blood type being Negative and my husband positive. I am not wanting to do this and have been really stressed about it. Any advice? Other options? I understand this is not medical advice. Thanks again so much!!   Brittany: My 7 year old son is going to have heart surgery to repair an advanced ASD. How would you prepare your child for surgery - diet, supplements, etc and same for post op. Thank you sooo much for everything you do.   Daniel: I experience nearly daily migraines and have actively engaged with your practice, attentively listening to all of your podcasts. I've undergone numerous tests and focused on rectifying specific deficiencies. However, the challenge I face is that no matter which supplements I attempt, my migraine symptoms worsen. This issue extends beyond just supplements; it includes foods, and pharmaceuticals as well, even those prescribed for migraine prevention (BP, Triptans, etc), which I try to avoid. My primary concern revolves around addressing these deficiencies while working within my limitations. I've restricted my dietary choices based on histamine content and sensitivities, so I'm seeking guidance on how to manage deficiencies effectively when any sort of intake increases the pain.   Ryan: I was wondering if you could answer some questions about your Detox protocol and intestinal cleanse compared to another brand that a friend recommended to me, ZenCleanz. Do you know anything about their products and how are they different and/or similar to what you offer? I follow Mind Pump and trust the information they put out and the work you are doing. Just looking for clarification on the detox space as I've never done one before. Is there more than one way to skin a cat in terms of products and protocols or does your product to something more than say ZenCleanz products do? I'm just confused and want to get a product that's safe, effective and reasonably priced as there's a lot of over priced nonsense in the health space these days. Thank you for your time.     Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!    - - - Show Notes and Resources: StephenCabral.com/2976 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

We review threatened abortion and the complexities in its care. Hosts: Stacey Frisch, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Threatened_Abortion.mp3 Download Leave a Comment Tags: OBGYN Show Notes Background Defined as vaginal bleeding during early pregnancy (before 20 weeks) with a closed cervical os, no passage of fetal tissue, and IUP on ultrasound Occurs in 20-25% of all pregnancies. Initial Assessment and Management Priority is to assess patient stability, establish good IV access, FAST may be helpful in identifying some ruptured ectopics early Broad differential diagnosis is crucial to avoid mistaking conditions like ectopic pregnancy for other emergencies. Importance of a detailed history and physical examination. Diagnostic Approach Essential tests include HCG level, urinalysis, and possibly CBC + blood type/Rh status. Rhogam's use is well-supported in second and third trimester bleeding; however, data is less robust for first trimester bleeding in preventing sensitization Importance of interpreting b-HCG with caution and understanding HCG discriminatory zones. Use of ultrasound imaging, both bedside and formal, to assess the pregnancy's status. Patient Counseling and Management Open and honest communication about the prognosis of threatened abortion. Addressing psychosocial aspects, including dispelling guilt and myths, and screening for intimate partner violence and mental health i...

Hello and is it too late to still say Happy New Year?! Cynthia & Trisha are back with the first Q&A of 2024 in season five of the Down to Birth Show! We kick it off today by sharing some of your highs and lows from the holiday season. Next, we get into our questions beginning with a mother who had low milk supply with her first baby and wonders what she can do in pregnancy and birth to prevent it from happening again; one curious listener wants to know if she can check her own cervix to help determine at what point she should go to the hospital; another caller asks us to explain why due dates are based on your last menstrual period rather than your ovulation date--what happens to those two weeks? In our extended version, available on Apple subscriptions and Patreon, we first answer a question about normal, healthy sleep patterns for infants and the pressure mothers face to have the baby "sleep through the night." Then we answer if and when "cervical massage" is indicated for a cervix that might be scarred from a previous cervical procedure. Another mom is concerned that her midwives missed a case of early jaundice in her newborn and inquires if getting the RhoGAM shot in pregnancy could have prevented the jaundice. Finally, one mother explains her OB's behavior around her choice to have a VBAC and we chime in with our take on his audacity!Last, we close with a round of quickies addressing morning sickness, postpartum hemorrhage, GBS swabbing, IUGR and the strangest things we've ever eaten!Thank you for your great questions and keep them coming at 802-438-3696 or 802-GET-DOWN.**********Down to Birth is sponsored by:Modern Nursery--Your one-stop shop for eco-friendly, stylish baby gearDrinkLMNT -- Purchase LMNT with this link today and receive a free sample kit.Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.Postpartum Soothe -- Herbs and padsicles to heal and comfort.Needed -- Optimal nutritional products to nourish yourself before, during, and after pregnancy Connect with us on Patreon for our exclusive content.Email Contact@DownToBirthShow.comInstagram @downtobirthshowCall us at 802-GET-DOWN Work with Cynthia: 203-952-7299 HypnoBirthingCT.com Work with Trisha: 734-649-6294 Please remember we don't provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

This episode of BackTable OBGYN features Dr. Matt Reeves, a seasoned OBGYN and CEO/Founder of the DuPont Clinic, and host Dr. Amy Park as they discuss the use of Rh immune globulin (RhoGAM) in pregnancy. RhoGAM is traditionally administered to Rh- women at 28 weeks gestation, within 72 hours of birth, and frequently after an abortion in order to prevent Rhesus alloimmunization in future pregnancies. However, with recent data showing negligible Rh- blood cell exposure in early pregnancy terminations, the need for RhoGAM in such cases is being questioned. Additionally, considering the scarcity of RhoGAM and the reality of smaller family sizes globally, the importance of RhoGAM in Rh alloimmunization prevention might not be as significant as previously thought. However, limited evidence and ingrained medical practices may cause the transition to be slow. --- SHOW NOTES 00:00 - Introduction 03:09 - Understanding RhoGAM: Origin and Development 06:06 - The Science Behind RhoGAM and Its Role in Pregnancy 08:13 - The Controversy and Debate Around RhoGAM Usage 11:52 - The Impact of RhoGAM on Public Health and Medical Practice 15:25 - The Future of RhoGAM: Perspectives and Predictions 29:24 - Closing Thoughts and Further Resources --- RESOURCES Horvath, S., Goyal, V., Traxler, S., & Prager, S. (2022). Society of Family Planning committee consensus on Rh testing in early pregnancy. Contraception, 114, 1–5. https://doi.org/10.1016/j.contraception.2022.07.002 Horvath S, Huang Z, Koelper NC, et al. Induced Abortion and the Risk of Rh Sensitization. JAMA. 2023;330(12):1167–1174. doi:10.1001/jama.2023.16953

In this Birth Story Friday, first-time mom Becky narrates her empowering unmedicated hospital birth story. She shares all her experiences leading up to the birth, including the preparations and affirmations she practiced during her pregnancy to prepare both mind and body for an unmedicated experience. Becky also talks about the unexpected postpartum complications she faced, such as postpartum hemorrhage, an emergency D&C for a retained placenta, and her need for a blood transfusion. The episode wraps up with a short discussion about what it means being Rh positive or negative, understanding the affects of fetal blood mixing, and why RhoGAM is recommended during pregnancy. In This Episode 00:00 Introduction  01:18 Introduction of the Becky  01:29 Preparation for Birth 03:01 The Labor Begins 09:26 Arrival at the Hospital and Progression of Labor 16:10 Time to Push 20:20 Postpartum Complications and Recovery 32:51 Discussion on Rh Factor and RhoGAM 35:43 Conclusion and Offerings ——— Watch Becky's Instagram Reel on her Birth Story Here: https://www.instagram.com/reel/C0rZuGXrksw/  And watch her full birth story on YouTube here: https://youtu.be/pzSriVqH8Uc?feature=shared

Before the 1960s, there was no method available to prevent Rh sensitization during Rh-incompatible pregnancies. Then, in 1968, the FDA approved the use of RhoGAM to help prevent Rh immunization. This was a landmark move in the field of Obstetrics. More recently, ever evolving data and medical genomic technology has brought new insights to RHD alloimmunization care. Can maternal RH typing be avoided with early pregnancy loss (under 12 weeks)? Why about in cases of pregnancy termination? Is that safe? And what is the UNITY non-invasive prenatal test? How can it be used to decrease unnecessary Rhogam administration? Well cover all this new data in this episode (NOTE: UNITY is not a sponsor of this podcast nor of this episode).

Autumn is here and beside the display of nature's splendor comes the inevitable cold and flu season with all it's precautions and warnings. Blyss & Dr. Stu refuse to blindly accept the standard recommendations offered by organized medicine. Together they dive into what is known about influenza in pregnancy and share their wisdom and typically strong opinions.In this episode, Dr. Stu and Blyss explore the power of advocacy during pregnancy and birth. They explore the pros and cons of the RhoGAM shot during pregnancy, discuss intermittent fetal monitoring during labor, and the topic of delaying the standard shot of Pitocin after delivery. This chat is punctuated by a journey back in time to the complex history of midwifery and medicine, the shift from apprenticeship to professional schooling, and the upcoming challenges if this trend continues.Key highlights:Influenza in PregnancyEmpowering Advocacy in Pregnancy and BirthApprenticeship in Midwifery and MedicineVaccination and COVID-19 During PregnancyRisks of Flu Vaccination in PregnancyControversy Surrounding Vaccinations in PregnancyEpisode resources:Fluzone package insert: https://www.fda.gov/media/170019/download?attachmentPregnancy as a risk factor for severe outcomes from influenza virus infection: A systematic review and meta-analysis of observational studiesCDC: Cold vs. FluCDC: Vaccines and Pregnancy: 9 Things You Need to KnowArticle: Assessment and Treatment of Pregnant Women With Suspected or Confirmed InfluenzaBlyss' instagram post on c-sectionsThis show is supported by:LMNT | Go to drinklmnt.com/birthinginstincts to get a free sample pack with every orderNeeded | Use code BIRTHINGINSTINCTS for 20% off your first month or first 3 months of a one-month subscription at thisisneeded.com.BIRTHFIT | Go to birthfit.com and use the code INSTINCTS1 for a discount on the Basics Prenatal program, or INSTINCTS2 for a discount on the Basics Postpartum program.Connect with Dr. Stu & Blyss:Instagram: @birthinginstincts / @birthingblyssWebsite: birthinginstincts.com / birthingblyss.comEmail: birthinginstinctspodcast@gmail.com Call-in line: 805-399-0439

Dr. Sara Wickham, PhD, MA, PGCert, BA, is a best-selling author, speaker, and researcher who works independently. She has more than twenty years' experience as a midwife; she's lectured in more than 30 countries; and, she is a researcher and author of seventeen books, and has edited three midwifery journals. She is considered a leading expert on the research and evidence around many of the most controversial topics and most difficult decisions in childbirth: Induction, newborn interventions, GBS infection, RhoGAM or Anti-D prophylaxis for Rh-negative mothers, and plus-size pregnancy. Today, she joins us to talk about risk and risk reduction. In focusing on risk factors or lack thereof in any individual woman, we are generalizing and categorizing her care not based on her individual and holistic assessment, but rather on a risk category that may not actually be the best fit for her and her baby. Sara explains five ways in which we should consider risk and risk assessment in childbirth. For example, are we considering the impact of a risk-centered approach on the long-term health of the mother and baby or how it may undermine a woman's confidence? Ultimately, she questions the conviction that, in childbirth, more action, more tests, and more intervention lead to safer outcomes. And as a bonus, she answers the top-three questions from our community. Sara WickhamSara Wickham on Instagram**********Down to Birth is sponsored by:Needed -- Optimal nutritional products for before, during and after pregnancyModern Nursery--Your one-stop shop for eco-friendly, stylish baby gearDrinkLMNT -- Purchase LMNT today and receive a free sample kit.Love Majka Products -- Support your milk supply.Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.Postpartum Soothe -- Herbs and padsicles to heal and comfort. Connect with us on Patreon for our exclusive content.Email Contact@DownToBirthShow.comInstagram @downtobirthshowCall us at 802-GET-DOWN Work with Cynthia: 203-952-7299 HypnoBirthingCT.com Work with Trisha: 734-649-6294 Please remember we don't provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

Episode 147: Routine Prenatal CareWritten by Elika Salimi, MSIV. Western University of Health Sciences, College of Osteopathic Medicine of the Pacific. Comments and editing by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice._____________________Elika: So, we're going to talk about some general principles of prenatal care and some of the most important diagnostic methods that we mainly use for taking care of pregnant women. I will forewarn you that there will be a ton of details in this talk, and I do recommend possibly taking notes as things can get easily confusing. This way you can have something to refer back to whenever you have a pregnant patient of your own.Arreaza: You can also download the episode notes from our website.Elika - So your patient is pregnant and she comes to you for care. How do we go about it? Well, this is assuming she had it at home urine pregnancy positive test and we got a blood hCG on her and everything's good and we know she's pregnant. Ok so now what happens next?Arreaza – We need to confirm the patient wants to keep the pregnancy.Elika - First, we're going to talk about the frequency of the check-ups. In this case, we are talking about a situation where the mother is coming to her appointments as she was supposed to but we all know that sometimes that doesn't happen if everything is going as it is supposed to then typically we get the initial examination at about 10 weeks of gestation and then until the 28th week there should be monthly visits, then from the 28th through the 36th there should be biweekly visits, and from the 36th week until birth, the visits are every week.Areaza – What´s next?Elika - Now I'd like to note that during the prenatal period, informed consent is very important and it should be obtained during this time because you want to prevent and manage any ethical conflicts that might exist between the mother and possibly the healthcare providers because we all know that any pregnancy can become high-risk at some point and pregnant individuals should be informed about the potential need for a c-section for example and be encouraged to discuss any concerns ahead of time. Elika - Now while we're talking about ethics, if the doctor finds him/ or herself in a situation where the patient is asking for something that the Dr does not feel comfortable with such as a certain type of treatment or a certain method of delivery or if they're, let's say, desiring an abortion and the doctor doesn't do abortions, then in this case you would refer the patient to a physician that is comfortable with the patient's desired outcome or treatment. And this is perfectly legal and fine just as long as you help the patient find somebody else. Arreaza – Abortion is legal in most states, but check your local regulations.Elika - So as mentioned earlier, the initial visit occurs at about 10 weeks of gestation. We start with checking their personal and family history and finding out about any previous pregnancies including at what GA baby born and weight if they know, any complications, gestational diabetes or preeclampsia, any history of postpartum hemorrhage requiring blood transfusion, any abortions (if present at what GA), and the method of deliveries, whether it was vaginal or a cesarean and what kind of C-section they had done. These are very important for you to obtain from your patient. You will also assess for depression and domestic partner violence.Arreaza – In California, we have a wonderful service called CPSP: Comprehensive Perinatal Services Program. What comes next? Elika - Upon receiving the history, we will do the gynecological examination and send in some samples. We will also send her to do some lab work. Now what do those labs entail? Well, we are going to get a CBC such as screening for anemia, we will also do TSH but only in people who have possible signs of thyroid disorder so not everybody needs to get this. And, we are going to send for a blood typing to find out about their ABO group and the Rhesus status. We will also obtain a urine analysis to screen for proteinuria and asymptomatic bacteriuria because in pregnancy, unlike outside of pregnancy, you do need to treat asymptomatic bacteriuria. We will also ensure that the mother is on prenatal vitamins, so folic acid, if not already, and iron, if indicated, and vitamin B6 if the patient has signs of nausea or hyperemesis gravidarum and this can be combined with doxylamine. Usually, pregnant women don't get a glucose screening test at the first visit unless let's say they have high risk of diabetes or they there was glucose in the urine. Arreaza – I like the topic of diabetes in pregnancy. So, in a high-risk population, we want to make sure a pregnant patient does not have diabetes, or pregestational diabetes.Elika - We will also screen for STI's including HIV, syphilis, hepatitis B, Hep C, and we also check for gonorrhea and chlamydia (pap) screening particularly in those under 25, or over 25 with high risk of infection. We will also test for rubella and varicella. Some places also order a QuantiFERON gold for tuberculosis. There are certain women that have indications for third-trimester screening for STI's on top of the ones that they already got in their first trimester. Those include chlamydia, gonorrhea, HIV, syphilis, and Hep B, and C but each of those have its own indications so for the purposes of time I will let you look that up on your own.Arreaza – Summary: Physical exam and labs to rule out preexisting conditions that may interfere with pregnancy, either infectious or metabolic, to mention some diseases. Elika - And finally, we will do an ultrasound assessment to get a more accurate reading of the fetus's gestational age.Arreaza – What comes after the first trimester?Elika- So like I mentioned they're going to need to be following up and some particular things need to be done at specific weeks. So we are going to discuss those. At every follow visit you need to obtain: the patient's weight, BP and other vitals, fetal heart sounds, the baby's measurement from the mother's pubic symphysis up until the fundus of the uterus, as well as a urine analysis to check for any glucose or protein in the urine because we are always concerned of possible preeclampsia or gestational diabetes. Another examination that I should mention is a Doppler ultrasound and this is usually indicated if there is suspected fetal growth restriction or if there's pregnancy-induced hypertension or if there's suspected fetal deformities or there is growth discordance in multiple pregnancies.Now we are going to discuss assessing for any abnormalities in the fetus. All pregnant women regardless of age should be offered noninvasive and aneuploidy screening test before 20 weeks of gestation. The 1st trimester combined screening occurs at about 10 to 13 weeks gestation, where we can order some blood tests for the mom such as the amount of hCG in maternal serum, as well as PAPP-A, on top of nuchal translucency that will see on the ultrasound. There is also the triple screen at 15-20 weeks which consists of ordering hCG, alpha-fetoprotein aka AFP, and estriol then there's also the quad screen test at 15-22 weeks gestation that consists of hCG, AFP, Estriol and Inhibin A. We also have the cell free fetal DNA testing that can occur after 10 weeks gestation at which the fetal DNA is isolated from the maternal blood specimen for genetic testing and this one actually happens to be the most sensitive and specific screening test for common fetal aneuploidies, and it is used for secondary screening after the ultrasound.Arreaza – Actually that test is done in all our patients on Medi-Call (cfDNA).Elika - If any of the screening tests are abnormal then we can provide counseling to mothers for more invasive diagnostic tests such as chorionic villus sampling, amniocentesis, and cordocentesis. At that point, you want to refer the patient to perinatology. Finally, in general an anatomical scan occurs ~18-22 weeks. Arreaza – Excellent, we have done the non-invasive genetic screening. What's next? Elika - Now we are going to talk about what happens in the third trimester specifically and what test you need to order. In the third trimester, you will order a CBC again, particularly at 24 weeks you want to do a repeat hemoglobin. We will also do the indicated repeat STI checks. We are also going to do gestational diabetes screening with the oral glucose test that I briefly mentioned earlier at around 24-28 weeks. This is usually done with a 50g 1 hr glucose tolerance test and if abnormal then a 100g 3 hour glucose test. You will also be repeating the Rh antibody just to make sure that the mother is still Rh negative because at 28 weeks, Rh negative mother should be administered RhoGAM 300 mcg intramuscularly and they need to get it again within 72 hours of delivery. Don't forget to give a TDAP vaccine at 27 weeks. And at 36 weeks you need to be obtaining a GBS culture (vaginal and rectal) for the patient just to make sure that there is no colonization because if there is then the patient is going to need GBS prophylaxis at admission because colonization by these bacteria can cause chorioamnionitis and neonatal infection such a sepsis. Overall when third trimester approaches you're going to make sure the plans for delivery have been properly scheduled or discussed with the patient and typically around 34 weeks you also want to check with your patient to see if they desire sterilization and obtain a consent if they will be having a C-section and they want to be sterilized after that. In those not requesting sterilization, it is a good idea to discuss what they want to do after this pregnancy for birth control since it is not safe to get pregnant again for another year. From 36 weeks' gestation, use Leopold maneuvers for assessment of fetal presentation but I'll let you look that up on your own. At this time, you may also use ultrasound as needed to confirm fetal lie and placental position.Patients with maternal conditions such as gestational diabetes or gestational hypertension/pre-eclampsia, or fetal condition such as heart defects or fetal growth restriction need to get biweekly NST/BPP tests at clinic in the third trimester because there is an increased risk of fetal hypoxic injury or death. An NST is basically a non-stress test that measures fetal heart rate reactivity to fetal movements. BPP /biophysical profile is a noninvasive test that evaluates the risk of antenatal fetal death usually after the 28th gestational week and what it consists of is the ultrasound assessment of fetal movement, fetal tone, fetal breathing, and amniotic fluid volume or we can also perform a contractions stress test that basically measures fetal heart rate reactivity in response to uterine contractions. Arreaza – I like talking about obesity. Weight gain is expected during pregnancy. Patients with normal weight are expected to gain 25-35 pounds. Patients with obesity are recommended to gain 11-20 only.Summary: Now I know that this was very extensive talk with a ton of details but if you took notes and refer back to it then I think things will somewhat make more sense and come together that way. The best thing we can do is try to adhere to guidelines to make sure that we don't miss anything. Sometimes it could be particularly difficult to manage patients that don't or can't come to their appointments regularly and you may sometimes have to give them bad news and what not so overall it is not always happy moments we face but the best we can do is try to give them the best care possible to avoid complications and have the patient deliver a healthy baby. Thank you for listening to me once again and hopefully I'll be back again soon on another talk on an OB/GYN related topic soon. Thank you very much. _____________________Conclusion: Now we conclude episode number 147, “Routine Prenatal Care.” Future Dr. Salimi gave an excellent summary of the care provided during the different trimesters of pregnancy. Remember to collect a detailed history, perform a comprehensive physical exam, and order the labs to rule out pre-existing conditions that could interfere with pregnancy or detect complications early to start timely interventions or refer to a higher level of care. This week we thank Hector Arreaza, Elika Salimi, and Verna Marquez. Audio editing by Adrianne Silva.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:AAP, ACOG. Guidelines for Perinatal Care. American College of Obstetricians and Gynecologists Women's Health Care Physicians; 2017Zolotor AJ, Carlough MC. Update on prenatal care. Am Fam Physician. 2014; 89(3): p.199-208. pmid: 24506122.World Health Organization. WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience. World Health Organization; 2016Workowski KA, Bachmann LH, Chan PA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR. Recommendations and Reports. 2021; 70(4): p.1-187. doi: 10.15585/mmwr.rr7004a1Murray ML, Huelsmann G, Koperski N. Essentials of Fetal and Uterine Monitoring. Springer Publishing Company; 2018Royalty-free music used for this episode: Space Orbit by Scott Holmes, downloaded on July 20, 2022 from https://freemusicarchive.org/music/Scott_Holmes/.

It is been a while since I continued through my "Vaccine Conversation Series," and I wanted to jump back in a share about a vaccine that I have not yet covered, and that is the Rhogam Vaccine.This is a immunoglobulin vaccine given to pregnant mothers who have RH- blood types with the risk of what a growing babies possible RH+ blood could do to the mother's future children.As I do in all my vaccine conversation episodes, I am going to share the ingredients, the risks vs. rewards, a lot of information that seems to be left out from doctors, and include many sources below to encourage you to continue researching and asking questions until you come up with a informed decision.For the many that requested this episode, I hope you enjoy!Sources:https://www.fda.gov/media/75013/downloadhttps://www.rhogam.com/pdfs/RhoGAM%20Prescribing%20Information.pdfhttps://www.justtheinserts.com/rhogam/https://vaccinetruth.org/rhogam.htmlhttps://www.fda.gov/drugs/questions-and-answers-fdas-adverse-event-reporting-system-faers/fda-adverse-event-reporting-system-faers-public-dashboardhttps://www.gentlebirth.org/archives/genpcare.html?fbclid=IwAR176hsWrk7eA4nUFO4jOXqngoY20frpn7AerlbcOHctpFP3di161IvyiKY#RhoGAMhttp://www.whale.to/a/rhogam.html?fbclid=IwAR0CQj9jLZ10ah_vtIkwfZVH9dMncwgbbkCeobIgcs5_KOB6_Vdnh2gzpgAhttp://www.wellwithin1.com/rhogam.htm?fbclid=IwAR02eKvlJSubyn-E9YkZGMnYKFJJUq-wF60b5rXsSLMUj7xvUQc-p97JqqkSponsors: Organic Herbal Remedies Use Code BROOKE10 to save 10%https://earthley.com/ref/brookebacci/All natural women's homeopathic hormone supplement $10 off with linkMenopause - https://modere.co/3XRHVVZMenstrual - https://modere.co/3IkPxKTAmazon Storefront(Book recommendations, wellness supplements and more)https://www.amazon.com/shop/brookebrewer20?ref_=cm_sw_r_cp_ud_aipsfshop_aipsfbrookebrewer20_FCY5VKK29ERGZAXM03T8

How do we cope with the parts of our birth that didn't go the way we envisioned? In today's episode we chat with Cadyn about her birth experience. She and her husband planned a home birth, because (in her words) of “how special we consider our home and surrounding space to be, and that this was where it seemed that magical portal of birth was meant to open.” After a long labor, Cadyn transferred to the hospital. It was frustrating and heart-breaking. But after a period of time, she was able to get hydrated and rest. The staff gave time and space and honored her choices. She felt supported. Her husband was even able to assist in “catching” the baby. Cadyn describes the birthing as “the best moment I've ever experienced.” More from Cadyn: “My hospital experience was thankfully quite positive, and one student member of our midwife team remained with my husband/best-birth-partner-ever and me through the birth. I know now that nobody, especially myself, is to be blamed— only thanked— for the way our daughter came into this world. There are of course reasons to be nervous about giving birth, but nothing to FEAR. I went through many phases of accepting my personal birth story, and listening to birth story podcasts like yours has sincerely helped me to process everything. I hear stories that share common ground with my own, and I hear stories that remind me that EVERY birth is unique. I hope I can share something with a listener who might need to hear it.” This birth story includes mention of: RhoGAM shot, Tay-Sachs disease, hospital transfer, epidural, pitocin. Links From The Episode: Immortalmountain.com Offers From Our Awesome Partners: Needed: https://bit.ly/2DuMBxP - use code DIAH to get 20% off your order Splash Blanket: https://bit.ly/3JPe1g0 - use code DIAH for 10% off your order Esembly: https://bit.ly/3eanCSz - use code DIH20 to get 20% off your order More From Doing It At Home: Send us your birth story: https://bit.ly/3jOjCKl Doing It At Home book on Amazon: https://amzn.to/3vJcPmU DIAH Website: https://www.diahpodcast.com/ DIAH Instagram: https://www.instagram.com/doingitathome/ DIAH YouTube: https://bit.ly/3pzuzQC DIAH Merch: www.diahpodcast.com/merch Give Back to DIAH: https://bit.ly/3qgm4r9 Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, we go over all the medications home birth midwives carry and use in the prenatal, intrapartum, and postpartum period, such as Pitocin, Rhogam, Vitamin K, antibiotics, and more. --- https://hearthandhomemidwifery.com 

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. In this episode, we hear from two women: Kelsey and Emily, both of whom are Rh-negative mothers. Kelsey and Emily each had RhoGAM in the past: Kelsey had it with her first baby, and Emily had it when she miscarried. Both of them had some degree of side-effects from the shot. In Kelsey's second pregnancy and birth, she declined RhoGAM entirely, and Emily (currently pregnant) is open to getting RhoGAM after her baby's birth. In this roundtable-style episode, we learn about the thought processes leading to their respective decisions. If you are struggling to determine if RhoGAM is the right choice for you, this episode will give you the statistics and factors to consider if and when RhoGAM or Anti-D is necessary and the right choice for you and your baby.**********DrinkLMNTLove Majka Products Silverette Nursing Cups Postpartum Soothe Connect with us on Patreon for our exclusive content.Email Contact@DownToBirthShow.comInstagram @downtobirthshowCall us at 802-GET-DOWN Work with Cynthia: 203-952-7299 HypnoBirthingCT.com Work with Trisha: 734-649-6294 Please remember we don't provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

In this quick to the point but informational episode, if you are Rh negative, you will now have all the information you need about the RhoGAM shot, when you'll receive it (if you choose!), how it'll affect you and your baby, and all the benefits and risks. As always, you have a choice!No matter what pregnancy this is for you, there's always more you can learn! This episode is especially for mamas who are Rh negative. We are going to talk about the rhoGAM shot.

It's Monday, February 27th, A.D. 2023. This is The Worldview in 5 Minutes heard at www.TheWorldview.com. I'm Adam McManus. By Adam McManus (Adam@TheWorldview.com) Indonesian church shut down mid-worship Our persecution story today comes from Indonesia. On Sunday, February 19, authorities disbanded the congregation of the Kemah Daud Christian Church in Bandar Lampung in the middle of their worship service, reports International Christian Concern. John 4:23 says, “The true worshipers will worship the Father in spirit and truth, for the Father is seeking such people to worship Him.” The devil hates when Christ followers worship their Lord. Ironically, the forced closure of the church was contrary to Indonesian President Jokowi's recent appeal and undermined the Indonesian Constitution, which guarantees freedom of worship and religion for all.  In response to pushback from church leaders in this Muslim-majority nation, authorities granted the church a worship permit for the next two years while the building permit the church has submitted is being processed. Please pray for the protection and promotion of religious freedom in Indonesia. Pence and DeSantis boycott CPAC over homosexual controversy Neither former Vice President Mike Pence nor Florida Governor Ron DeSantis will appear at the Conservative Political Action Conference, reports ABC News. No doubt both likely presidential candidates are distancing themselves from Matt Schlapp, the chairman of CPAC, who has been accused of unwanted homosexual overtures.  According to a report from The Daily Beast, Schlapp "groped" and "fondled" a Herschel Walker staffer on October 19th on a drive back from an Atlanta bar.  The male staffer filed a lawsuit against Schlapp and his wife, Mercedes, seeking $9.4 million for sexual battery and defamation, reports Politico. Abortion Kill Pill could be declared illegal A pro-life, Christian federal judge in Texas, named Matthew Kacsmaryk, could single-handedly outlaw the abortion Kill Pill in all 50 states, reports Slate.com. A graduate of Abilene Christian University and the University of Texas School of Law, the 45-year-old Kacsmaryk served as Deputy General Counsel for First Liberty Institute, a conservative Christian legal group before President Donald Trump boldly nominated him in 2019 to serve as a United States district judge. The Washington Post reports that when Kacsmaryk was a 22-year-old law student, his 17-year-old sister got pregnant, and chose to place her baby with an adoptive married couple.  That solidified his belief that every pregnancy should be treasured. According to the pro-abortion Guttmacher Institute, the abortion Kill Pill now accounts for the deaths of 53% of pre-born babies in the womb. Beyond the death of the child, medication abortion has serious side effects.  They include fever, infection, pain, vomiting, diarrhea, feeling dizzy, a severe headache, heavy, prolonged bleeding for multiple weeks, incomplete abortion requiring surgical follow-up, short-lasting hot flashes, hemorrhage, blood clots, and possibly an undetected ectopic pregnancy, which is life-threatening. Plus, permanent infertility could result if a woman takes the abortion Kill Pill if an Rh negative mother is not administered RhoGAM as is done with dangerous "no-test" and telemedicine chemical abortions. Pray that Judge Matthew Kacsmaryk protects mothers and their unborn babies across the nation from the abortion Kill Pill. Proverbs 21:3 says, “To do righteousness and justice is more acceptable to the LORD than sacrifice.” New details on suicide of former Clinton aide with Epstein connections New details emerged last week regarding the May 7, 2022 suicide of Mark Middleton, a 59-year-old former aide to President Bill Clinton, reports the New York Post. Not only did he shoot himself in the chest with a 12-gauge coach shotgun, but he tied an extension cord around his neck to ensure he would die by hanging. Contrary to initial reports that there was no gun found near the body at the Heifer Ranch in Perryville, Arkansas, there was indeed a gun 30 feet nearby. Officers determined that the gun was flung away from Middleton's body due to the recoil and angle off the ground. The former Clinton aide had ties to pedophile Jeffrey Epstein. Before he left politics in 1995, Middleton signed the sex fiend into the White House seven out of the 17 times he visited the residence. He also reportedly rode on Epstein's infamous “Lolita Express” jet. However, one report on RadarOnline.com suggests Middleton did not commit suicide, but that it might have been a homicide. Homeschooling up 30% Homeschooling saw a 30% increase in the 21-22 academic year while public school enrollment fell by more than 1.2 million students within the first two years of the COVID-19 pandemic, reports The Christian Post. The study from the Urban Institute found that private school enrollment increased by 4.3% between the fall of 2019 and the fall of 2021. And homeschool enrollment rose by 30%. Steven Duvall, director of research for the Home School Legal Defense Association, said, “We believe that homeschooling is a wonderful way to educate a child and that many hundreds of thousands of families made this same discovery during the pandemic.” Doctors continued CPR for 3 hours on toddler until life returned And finally, when 3-year-old Waylon Saunders arrived at the hospital, he was already legally dead and had been for a while. Found face-down in an icy backyard swimming pool, the Ontario, Canada toddler's body temperature was so low that paramedics' thermometers couldn't get a reading, and he had no pulse. Nevertheless, a team at Englehart Hospital in Petrolia, Ontario performed CPR for 3 hours without stopping, while simultaneously using other methods to warm his frozen body. Fortunately for Waylon they didn't stop, and after 3 hours of compressing his chest to artificially pump blood to his brain and other organs, Waylon's heart was restarted and kept on keeping on, reports the Good News Network. Dr. Janice Tijssen, the director of the pediatric critical care unit at Children's Hospital in Ontario, explained to the Canadian Broadcasting Corporation how they saved Waylon's life. TIJSSEN: “There's not a lot you can do when a child is as cold as he was. In fact, he was so cold, we couldn't even get a temperature read on him. So, we just knew that he was very cold and needed to be rewarmed. So that was one of the main tasks that the team in Petrolia had to do and the other was providing high quality CPR.” Waylon's mother, Gillian, said she owes a lifetime of gratitude to the care team.  She said, “They're heroes. I told them that they're God's soldiers.” Close And that's The Worldview on this Monday, February 27th, in the year of our Lord 2023. Subscribe by iTunes or email to our unique Christian newscast at www.TheWorldview.com. Or get the Generations app through Google Play or The App Store. I'm Adam McManus (Adam@TheWorldview.com). Seize the day for Jesus Christ.

In this episode, we discuss the use of RhoGAM in the first trimester. Then we discuss the timing of birth and why babies are born more commonly in some months and days than others. 

Hello everyone! It is that time of the month, and we are back with our December Q&A. To kick it off, we have a follow-up conversation based on one listener's response to  episode #188 on Rhogam. Next, we jump into our questions discussing the actual risks of going past 24 hours or ruptured membranes without contractions and how you can mitigate those risks. We break down why meconium becomes more concerning after 42 weeks gestation and what those actual risks are. One mother who has the flu in the third trimester wonders if this is harmful to her baby and what she should do about it; another mom is curious if it is more helpful or hurtful to use assistance to birth her placenta and questions if a hep-lock or IV port is really necessary in labor. Furthermore, is vitamin D supplementation truly necessary for breastfed babies?  Additionally, we have a great quickies segment on pregnancy headaches, aging placentas, newborn rashes, breast changes in pregnancy, cold-plunging postpartum, water birth and infections and whether or not sleep training babies is really needed.In our extended version, over on Patreon and Apple Subscriptions, we dive into a very important topic: How to accurately calculate your due date based on your specific menstrual cycle, not the average cycle. We discuss delayed cord clamping and where to clamp the cord, two-vessel cords and the implications for induction and the safety of home-birth with midwives who have restricted access to emergency medications. It's an extra-long extended episode this month - happy new year!Remember you can hang with us twice a month during our interactive and educational livestream for our Patreon community members!Connect with us on Patreon for our exclusive content.Email Contact@DownToBirthShow.comInstagram @downtobirthshowCall us at 802-GET-DOWN Work with Cynthia: 203-952-7299 HypnoBirthingCT.com Work with Trisha: 734-649-6294 Please remember we don't provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

Anti-D immune globulin has been advocated for use in appropriate patients since the 1970s. Historic data showed that 0.1ml of fetal D+ blood was all that was required to potentially sensitize an Rh negative mother. New data is questioning whether this prophylaxis is required in all cases of threatened miscarriage/abortion in early pregnancy, or if a more selective approach is appropriate. In this episode, we will highlight a soon to be released “Questioning Clinical Practice” commentary from Obstet Gynecol (the Green Journal) tackling this issue. Is it time to change our current and standard practice?

In today's episode we discuss the problem with Rh negative blood types and how it impacts future pregnancies. We've invited Courtney, mother of three, and her midwife, Jessica, to discuss her experience as an Rh negative mother who became isoimmunized against her baby, resulting in the need for multiple in-utero blood transfusions to save her baby's life.  Typically, women who carry the Rh negative blood type are given a blood product called Rhogam, which protects the mother from developing an auto-immune response against her future babies. In Courtney's case, Rhogam (also known as anti-D) did not work. As a result, her own body "attacked" her third baby, causing her baby to have life-threatening anemia in utero.  The purpose of this episode is to help mothers (a) learn about the issue behind Rh negative blood types; (b) understand how Rhogam works to prevent isoimmuization; (c) know the risks associated with receiving the Rhogam injection; and (d) feel empowered by discovering that even a high-risk pregnancy, such as Courtney's, can be co-managed under midwifery care to achieve the labor and birth goals associated with a low-intervention or natural birth.This show is sponsored by:Silverette USA*Postpartum Soothe*Baby Notebook - Get the App Here*Use promo code DOWNTOBIRTH**********Connect with us on Patreon for our exclusive content.Email Contact@DownToBirthShow.comInstagram @downtobirthshowCall us at 802-GET-DOWN Work with Cynthia: 203-952-7299 HypnoBirthingCT.com Work with Trisha: 734-649-6294 Please remember we don't provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

Today on the show we have my friend, Virginia. Virginia's pregnancy with her first daughter was characterized by the RhoGAM shot, threats of induction, and a last minute transfer from a birth center to a homebirth. Although she birthed at home, Virginia shares her anger around being gaslit and forced to push by her medical midwifery team. With her second pregnancy, Virginia knew she was ready to reclaim what was lost in her first birth, and birthed her son in total Shakti power. Watch this episode on Youtube! https://youtu.be/t_5FrreY12Q APPLY FOR THE RADICAL BIRTH KEEPER SCHOOL: https://www.radicalbirthkeeperschool.com GET THE COMPLETE GUIDE TO FREEBIRTH: https://www.freebirthsocietycourses.com/cgtf JOIN THE FREE BIRTH SOCIETY PRIVATE MEMBERSHIP: https://www.freebirthsocietycourses.com/membership VIEW ALL THE FREE BIRTH SOCIETY COURSES: https://www.freebirthsocietycourses.com JOIN THE FREE BIRTH SOCIETY NEWSLETTER: https://www.freebirthsocietycourses.com/opt-in-pregnancy-affirmations-gift FOLLOW FREE BIRTH SOCIETY ON INSTAGRAM: https://www.instagram.com/freebirthsociety/ SUPPORT THE PODCAST: https://www.paypal.com/donate/?hosted_button_id=2YJBSCNYXT52Y SUBMIT YOUR FREEBIRTH STORY! Email pictures and text to submissions@freebirthsociety.com. Connect with Virginia: https://www.instagram.com/virginiarosenberg/

After sharing a couple of listener stories, Dr. Stu and Blyss unpack Dr. Sara Wickham's book on Anti-D, RhoGAM, and Rh factor. They dive into the implications of routinely giving RhoGAM to all Rh-positive pregnant women, and how there is a lack of research trials and data on RhoGAM. You may get aggravated, you may get p*ssed, but as always, Dr. Stu and Blyss are here to provide informed consent and empower you to choose what's best for your family.In this episode of Birthing Instincts:Listener stories: “held hostage at the hospital” & breech maneuvers California's recent bill: punishing doctors for spreading “false information”How Anti-D is a medicine made from bloodTests to consider before receiving RhoGAM4 key side effects of RhoGAMThe lack of current research & safety data on RhoGAMThis show is supported by:LMNT | Go to drinklmnt.com/birthinginstincts to get a free sample pack!Resources:Book: Anti-D Explained by Dr. Sara Wickham 2021Electric bike: lectricebikes.com Connect with Dr. Stu:Instagram: @birthinginstinctsWebsite: birthinginstincts.comConnect with Blyss:Instagram: @birthingblyssWebsite: birthingblyss.comThis show is produced by Soulfire Productions

In this solo-cast, Dr. Riley elaborates on his observations of what has gone wrong in "western" medicine over the past few years, which was an acceleration of a process put into place hundreds of years ago with the advent of "modern medicine". He also elaborates on what truly holistic OBGYN care looks like. What tools does he use? How does he help his clients re-harmonize with their surroundings? [00:06:30] - Who am I? What is my purpose? [00:11:15] - Positive realizations from the pandemic [00:12:30] - A physician's job is to be curious and to embrace nuance [00:14:00] - Luciferic versus Ahrimanic forces [00:21:30] - Allopathy generally works against nature, not with her [00:24:00] - Tools in my unorthodox toolkit [00:49:00] - I don't want MORE clients; I want TIME with clients [00:53:30] - Case study: endometriosis [01:05:45] - Case study: fertility [01:19:00] - Holistic pregnancy support [01:36:15] - Our home birth story [01:39:55] - Insights into induction of labor [01:43:00] - Insights into vaginal breech birth [01:50:00] - Insights into postpartum support, TOLAC, GBS, fetal monitoring, and Rhogam [01:58:45] - Insights into vaccines, vitamin K, and informed consent and shared decision making [02:01:00] - Insights into menopause References from the Show: The prequel to this solo cast The Illusion of Evidence-Based Medicine, by Jon Jureidini 1st chakra 2nd chakra DUTCH testing Chek Institute Efifji Breathwork (My interview w/ Sarah Charmoli) Biogeometry pendants Conscious Technologies harmonizing pendants The Fifth Vital Sign, by Lisa Hendrickson-Jack Very Small is Beautiful, lecture by Sally Fallon Morrell Online store (discounts on many products mentioned in the show) Find me on Instagram at @nathanrileyobgyn and my practice at www.BelovedHolistics.com Sponsors: FullWell Fertility - Use code BELOVED10 for 10% off the best prenatal vitamin on the market (and check out their vitality and nerve support tonic!) Fit for Birth - Use code BELOVED for 20% discount off personal prenatal exercise coaching or courses to improve your coaching practice! Music by: Labrinth, Chancha Via Circuito, and Joaquín Cornejo --- Send in a voice message: https://anchor.fm/theholisticobgyn/message

In this episode, Dr. Aimee is joined by Dr. John Norian. Recently, Rebecca from New Zealand sent a question to Ask The Egg Whisperer. Here's her question, "I'm 31 and have two children. My FSH is seven. We started trying to conceive in late in 2020, and got pregnant right away. Sadly, it ended in a six week spontaneous miscarriage. I got pregnant again after the miscarriage and this pregnancy resulted in also a miscarriage at 12 weeks of pregnancy. I'm RH negative, and had the RhoGAM after both losses. I'm booked for fertility appointment about a month. I've made lots of lifestyle changes, avoiding BP, and now eating a plant-based diet. What would you recommend as next steps for me as far as supplements and are there any other tests that you would recommend?" Tune in to hear the answer to this question, and others.  Follow on Apple Podcasts Follow on Spotify   Subscribe to my YouTube channel for more fertility tips! Join Egg Whisperer School Checkout the podcast Subscribe to the newsletter to get updates  Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

For Jena's first baby she decided to birth at a midwife center. It came very close to resulting in a hospital transfer, but with Jena's determination and support from her husband, her son was born without transfer. Her second and third were both born at home very quickly, simply and perfect. Jena also shares with us how she decided not to receive the RhoGam shot despite having a negative blood type.  

Brittney shares a traumatizing story about getting her RhoGAM shot. We are celebrating Anya's birthday! She tells us that she is excited about her birthday and thinks that her 30's are going to be her best years yet. She shares how she is going to celebrate: her first tattoo and getting her nose pierced! Anya's daughter's birthday is coming up and she starts sharing about how they are celebrating. The MILF's discuss different aspect of throwing a birthday party such as: spending, decorations, and food. They weigh in on when do birthday celebrations start to slow down. The conversation shifts to ridiculous over priced things for birthdays these days. Do you feel that gifts are a necessity for a party? What about experiences instead of gifts? This weeks Tits and Tips: Do you have a favorite birthday you remember? The Naptime Happy Hour Podcast is Hosted by the Moms I'd Like to Follow: (Anya, Brittney, & Danielle) Produced by John Langan Follow the show on Instagram - @NaptimeHappyHour Follow the M.I.L.F.s on twitter: Anya - @anzilla51 Brittney - @bweezy0602 Danielle - @dshizzle28 Theme Song is "Twinkle" by YoshiFan Visit our Website - naptimehappyhourpodcast.com

In this birth story mini episode, Courtney shares the story of her second son's birth, which involved managing her pregnancy with a RhoGam shot due to her Rh incompatibility (which occurs when a mother's blood type is negative and her baby's is positive). Courtney's birth took place during the earlier part of the Covid pandemic and despite these unforeseen obstacles, particularly after having had an easy birth with her first son, her second birth went well and very quickly.* * * * * * * * * *If you enjoyed this episode of the Down To Birth Show, please subscribe and share with your pregnant and postpartum friends.Between episodes, connect with us on Instagram @DownToBirthShow to see behind-the-scenes production clips and join the conversation by responding to our questions and polls related to pregnancy, childbirth and early motherhood. You can reach us at Contact@DownToBirthShow.com or call (802) 438-3696 (802-GET-DOWN). We are always happy to hear from our listeners and appreciate questions for our monthly Q&A episodes. To join our monthly newsletter, text "downtobirth" to 22828.You can sign up for Cynthia's HypnoBirthing classes as well as online breastfeeding classes and weekly postpartum support groups run by Cynthia & Trisha at HypnoBirthing of Connecticut. Please remember we don’t provide medical advice, and to speak with your licensed medical provider related to all your healthcare matters. Thanks so much for joining in the conversation, and see you next week!Support the show (https://www.paypal.com/paypalme/cynthiaovergard)Support the show (https://www.paypal.com/paypalme/cynthiaovergard)

How do we cope with the parts of our birth that didn’t go the way we envisioned? In today’s episode we chat with Cadyn about her birth experience. She and her husband planned a home birth, because (in her words) of “how special we consider our home and surrounding space to be, and that this was where it seemed that magical portal of birth was meant to open.” After a long labor, Cadyn transferred to the hospital. It was frustrating and heart-breaking. But after a period of time, she was able to get hydrated and rest. The staff gave time and space and honored her choices. She felt supported. Her husband was even able to assist in “catching” the baby. Cadyn describes the birthing as “the best moment I’ve ever experienced.” More from Cadyn: “My hospital experience was thankfully quite positive, and one student member of our midwife team remained with my husband/best-birth-partner-ever and me through the birth. I know now that nobody, especially myself, is to be blamed— only thanked— for the way our daughter came into this world. There are of course reasons to be nervous about giving birth, but nothing to FEAR. I went through many phases of accepting my personal birth story, and listening to birth story podcasts like yours has sincerely helped me to process everything. I hear stories that share common ground with my own, and I hear stories that remind me that EVERY birth is unique. I hope I can share something with a listener who might need to hear it. This birth story includes mention of: RhoGAM shot, Tay-Sachs disease, hospital transfer, epidural, pitocin Links: Our website: https://www.diahpodcast.com/ DIAH Shop: ttps://bit.ly/3qhwgAe Instagram: https://www.instagram.com/diahpodcast/ Facebook Page: https://www.facebook.com/diahpodcast Facebook Group: https://www.facebook.com/groups/1904721379788084/?ref=bookmarks

In episode two we talk about the dreaded Rh Antigen and when to give RhoGAM! A topic that confuses many, but listen to how Dr. Zeeshan breaks this bad boy down! Many people get overwhelmed with all the information that's out there, we keep it simple! Join us weekly for FREE Zoom Sessions and be one of the many REPEAT test takers that passed the exam by spending NO MONEY with NCLEX High Yield! NCLEX High Yield is a Prep Course and Tutoring Company started by Dr. Zeeshan in order to help people pass the NCLEX, whether it's the first time , or like the majority of our students, it's NOT their first time. We keep things simple, show you trends and tips that no one has discovered, and help you on all levels of the exam! Follow us on Instagram: @NCLEXHighYield or check out our website www.NCLEXHighYield.com Make sure you join us for our FREE Weekly Zoom Sessions! Every Wednesday 3PM PST / 6PM EST. The link is in out Instagram Bio, or email contact@nclexhighyield.com to be added to our list. --- Support this podcast: https://anchor.fm/nclexhighyield/support

Katelyn is a proud chiropractic wife, boy mom, leader, and total foodie! Her background is in hospitality but today she has the privilege of living out her life's mission: to inspire healthy living in body, soul, and mind. She takes us through her journey of choosing a birth center and switch to a homebirth late in her pregnancy. She had to make some decisions through pregnancy such as RhoGam, Gestational Diabetes and Circumcision. This episode is great for all moms but especially for the first time mom who needs a little help in learning how to make decisions through her pregnancy. Katelyn takes us through her decision making process to you too can make powerful decisions and be in control of your birth!   Connect with Katelyn:   Blog: www.buffalotribes.com IG: @katelynlaflin   Show Notes: https://www.birthblissbeyond.com/post/_ep18   Schedule your 60 minute Birth Planning Session: empoweredbirthpodcast.com/birthplanning   Connect with Empowered Birth Podcast:   FB: The Empowered Mama's Birth Tribe IG: @empoweredbirthpodcast

Practice Bulletins #181 and #192 - Reaffirmed in 2019 Five pearls: 1. Risk of alloimmunization is around 15% after 2nd delivery of an Rh positive fetus to an Rh negative mother; this risk is decreased dramatically with administration of postpartum RhoGam 2. RhoGam is never indicated if both mom and dad are Rh negative or in women who are already sensitized (indirect coombs screen) 3. The KB test can used to determine if excessive feto-maternal hemorrhage has occurred in order to guide RhoGam administration in less obvious cases such as abdominal trauma in pregnancy 4. Alloimmunization can present as mild to severe anemia; if concerning antibodies are found, serial titers and/or peak systolic velocity of the middle cerebral artery ma be indicated 5. "Kell kills" Show Notes SIGN UP FOR LOUISVILLE BREECH WORKSHOP! Wine pairing: 2017 Pinot Noir from Longford Estate Wines Theme music by Evan Handyside Logo design by JD Dotson (jddotson1@gmail.com)

Episode 115- Do you want all the details on the birth of Amber's second child? Well if so, you have come to the right episode. We discuss how the birth went down, from the first signs of labor, to how it progressed, to how the baby finally made an appearance Earth side! If you are curious to hear how a natural, unmedicated home birth goes down, this episode will be sure to satisfy. Hear also about how Amber refused the RhoGAM shot (and how that ended up playing out), along with how this birth was similar and different to the first. Also get insight into postpartum planning, breastfeeding and all of the aftermath.

Join us on another Friday night as we talk through a bit about our weeks. We then discuss Dani's recent lab results, the blood test she hasn't had yet but is planning to get (rh antibody screen) and why she is planning to get it, and finally wrap things up by once again opening up the discussion of the underlying philosophy of birth and how that affects where, why and how we birth and setting the stage for future controversial conversations.

Rhogam Redux by UC Department of Emergency Medicine

To wrap up our Pregnancy Series, we’re talking to Real Life Mom Caitlin Kean (The Paper Year podcast) about pregnancy, birth, and all the unexpected complicated things that can happen after. From trouble with nursing to allergies to postpartum anxiety, Caitlin has amazing perspective and great advice on handling anything that comes your way as a new parent.Links in this episode: The Paper Year podcast, Caitlin on Instagram, Information on Gestational Diabetes, Information on RhoGAM, Information on Tongue-Tie, Study on the relationship between lack of sleep and postpartum depression and anxiety, More on Postpartum Depression and Anxiety, More on the FDA-approved PPD drug, Park Slope Parents group, Join us on Patreon!

This is part 2 of our series on maternal alloimmunization. In this session, we will review prevention of RH isoimmunization with a brief review on RhoGAM use according to the ACOG practice bulletin # 181.

In this final session, we will review RhoGAM use, GBS screening, and the ACOG update on vaccinations in pregnancy (Tdap).

Every visit: Doptones, fundal height, vitals Four question: Vaginal bleeding, contractions, leaking fluid, fetal movement By Weeks: 20wks – get and review anatomy US 24wks – order glucola, cbc (check for anemia), discuss normal growing pains 28wks – Tdap and Rhogam if needed, discuss kick counts 32wks – Discuss BCM, sign tubal papers if needed, […]

Every visit: Doptones, fundal height, vitals Four question: Vaginal bleeding, contractions, leaking fluid, fetal movement By Weeks: 20wks – get and review anatomy US 24wks – order glucola, cbc (check for anemia), discuss normal growing pains 28wks – Tdap and Rhogam if needed, discuss kick counts 32wks – Discuss BCM, sign tubal papers if needed, […]

Author: Dylan Luyten, M.D. Educational Pearls Rhogam is commonly used when an Rh negative woman has an Rh positive fetus. It is commonly used in the ER in the setting of a miscarriage. Rh(+) fetal blood can enter the Rh(-) maternal circulation, sensitizing the woman to the Rh antigen. During a subsequent pregnancy, if the fetus is Rh(+), the woman may mount an immune response to the fetus, lead to fetal demise. Rhogam is used to block this process. Use of Rhogam has reduced this complication from 16% of Rh(+) pregnancies in the 1960’s to less than 1% today. Under 10 weeks, the amount of maternal-fetal blood exchange is very small, so the use of Rhogam in a 1st trimester miscarriage is unnecessary. It should be used in patients with a miscarriage after 12 weeks, or women undergoing a surgical D&C. Rhogam is expensive and in limited supply, so it is important to only use it when necessary. References: Hannafin, Blaine et al. Do Rh-negative women with first trimester spontaneous abortions need Rh immune globulin? 2006.  The American Journal of Emergency Medicine, Volume 24 , Issue 4 , 487 - 489

Your blood type is something that is determined by your genes, and until you need a blood transfusion your blood type doesn’t really have any affect on your health. If you get a blood transfusion it is important to match the donors blood type with your blood type so your body does not reject it. Having Rh negative blood isn’t a concern until pregnancy. If you are Rh negative, and your baby is Rh positive then you have an Rh incompatibility. This means that there is a mismatch between the blood of you and the blood of your baby. When your Rh negative blood is exposed to your baby’s Rh positive blood, your blood reacts by producing antibodies that can attack and destroy your baby’s Rh positive blood cells. To avoid the complications that come along with this rho(D) immune globulin, commonly referred to by the brand name RhoGAM, is given at various points during your pregnancy or after birth. This episode explores all of the risks, benefits, and considerations surrounding Rh compatibility with your baby and the rho(D) immune globulin or RhoGAM shot.   Show notes: http://pregnancypodcast.com/episode93/   Thank you to Aeroflow for sponsoring this episode. Aeroflow is a company that helps you get a breast pump through your health insurance. There can be some hoops to jump through to get a breast pump through your insurance but Aeroflow does all of this for you and makes it so easy. All you need to do is fill out a form that takes just a minute and they will contact your health insurance company and work out all the details, then they will get in touch with you to help you choose the right breast pump. To get started on ordering your pump go to http://pregnancypodcast.com/breastpump/   Thank you to Zahler for their support of this episode. Zahler makes a high quality prenatal vitamin that has the active form of folate, that I refer after all of the research I have read on folic acid, plus it has omega 3s and DHA. This is the prenatal vitamin I take and the one I recommend. Zahler was very generous and gave me a promo code I can share with you so you can save 25% off when you buy a month supply on Amazon. To order them today go to http://amzn.to/2nOuFVB and enter the promo code PREPOD25 when you checkout.

Do patients with 1st trimester bleeding need to get anti-D immunoglobulin if they're Rh negative? We dive into the topic this week. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_86_0_Final_Cut.m4a Download Leave a Comment Tags: Early Pregnancy, Obstetrics, RhoGam, Vaginal Bleeding Show Notes Take Home Points An Rh negative woman can become alloimmunized to Rh antigen if exposed to blood from an Rh positive fetus. Theoretically, this alloimmunization can occur even in early pregnancy While anti-D immune globulin has clearly been shown to be beneficial in preventing alloimmunization in 2nd and 3rd trimester pregnancy, there is no evidence supporting use specifically in the 1st trimester Despite the absence of evidence, RhoGam administration has become routine in many places. At this time, it's advisable to follow local practice patterns regarding which patients should be given RhoGam. References ACOG Practice Bulletin. Prevention of Rh D Alloimmunization. Int J Gynaecol Obstet 1999; 66(1): 63-70. PMID: 10458556 Recommendations reaffirmed in 2016 Hahn SA et al. Clinical Policy: Critical Issues in the Initial Ealuation and Management of Patients Presenting to the Emergency Department in E...

Do patients with 1st trimester bleeding need to get anti-D immunoglobulin if they're Rh negative? We dive into the topic this week. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_86_0_Final_Cut.m4a Download Leave a Comment Tags: Early Pregnancy, Obstetrics, RhoGam, Vaginal Bleeding Show Notes Take Home Points An Rh negative woman can become alloimmunized to Rh antigen if exposed to blood from an Rh positive fetus. Theoretically, this alloimmunization can occur even in early pregnancy While anti-D immune globulin has clearly been shown to be beneficial in preventing alloimmunization in 2nd and 3rd trimester pregnancy, there is no evidence supporting use specifically in the 1st trimester Despite the absence of evidence, RhoGam administration has become routine in many places. At this time, it’s advisable to follow local practice patterns regarding which patients should be given RhoGam. References ACOG Practice Bulletin. Prevention of Rh D Alloimmunization. Int J Gynaecol Obstet 1999; 66(1): 63-70. PMID: 10458556 Recommendations reaffirmed in 2016 Hahn SA et al. Clinical Policy: Critical Issues in the Initial Ealuation and Management of Patients Presenting to the Emergency Department in Early Pregnancy....