Positive Kleihauer result following an ectopic pregnancy.
The case presented highlights the risk of fetomaternal haemorrhage in ectopic pregnancy. With the current shortages of anti-D, it may be necessary to reduce administration of anti-D, but this may result in an increase in rhesus isoimmunization. As Kleihauer testing may be of limited value (1), recommendations by deCrespigny and Davison (2) for the use of a reduced dose of 30 mcg anti-D in all rhesus negative women with early pregnancy complications including ectopic pregnancy, would seem appropriate.
Krause
H G
HG
Department of Obstetrics and Gynaecology, Royal Women's Hospital, Brisbane, Queensland.
Goh
J T
JT
D000328:Adult; D005260:Female; D005331:Fetomaternal Transfusion / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000150:complications*; D018029:Rho(D) Immune Globulin / Q000008:administration & dosage*; D012307:Risk Factors
D018029:Rho(D) Immune Globulin