Question

An 18-year-old primigravida has a blood type of O-, In her postpartal care plan, the nurse should include what information concerning RHO Immune globulin [RhoGAM]?

Answer 1

RhoGAM [Rho(D) Immune Globulin (Human)] (300 μg) is immune globulin indicated for use in preventing Rh immunization for pregnancy and other obstetrical conditions in Rh-negative women unless the father or baby is conclusively Rh-negative,
e.g. delivery of an Rh-positive baby irrespective of the ABO groups of the mother and baby, any antepartum fetal-maternal hemorrhage (suspected or proven), actual or threatened pregnancy loss at any stage of gestation and ectopic pregnancy. In the case of postpartum use, RhoGAM is intended for maternal administration. Do not inject the newborn infant.

Postpartum prophylaxis: The recommended dose is a single dose of 300 micrograms (1500 IU), administered by intravenous or intramuscular injection. When administered intravenously, a minimum dose of 200 micrograms may be sufficient provided large foeto-maternal haemorrhage can be excluded.
For postpartum use, the product should be administered to the mother as soon as possible within 72 hours of delivery of RhD. If more than 72 hours have elapsed, the product should not be withheld but administered as soon as possible.