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AskHello doctor! I was born in 1995. I just found out I'm 6 weeks pregnant. At that time, the doctor said there was a fetal heart and an embryo. Two weeks later, I went back to the doctor and found out that the pregnancy was stillborn and the baby was gone. When going to the hospital for a cesarean section. The doctor did a blood test and said that I have blood group O with Rh(-) , and my husband's blood group is also blood group B with Rh (+). Therefore, before giving birth control pills, the doctor told her to give her a dose of Anti D immunoglobulin 300mcg. She was then given medication and had a miscarriage 4 hours later. The doctor asked me if the reason the baby was saved was due to the incompatibility between the Rh- and Rh+ blood groups of me and my husband? And I also want to know, am I still able to get pregnant and give birth? Is the probability of pregnancy high or low? Are there any risks during my next pregnancy and childbirth? Me and my husband are very worried because we don't have any children yet. This is my first pregnancy. So I'm looking forward to the doctor's answer. I thank Dr. much sir!
Nguyen Thi Thanh Tuyen (1995)
Reply
Hello! Stillbirth is the death of a fetus before or during delivery. Stillbirth usually occurs during the first 3 months of pregnancy. There are many causes of stillbirth. According to research: More than 50% of miscarriages in the first trimester are due to chromosomal abnormalities. About 20% of women with recurrent miscarriage will be diagnosed with an immunological cause, the most common being Antiphospholipid Syndrome (APS). In addition, there are some other causes such as the mother having some chronic diseases, cardiovascular disease, diabetes, blood diseases, blood group incompatibility between mother and child (mother has Rh negative) is also one of many reasons mentioned above. This stillbirth of yours may be due to a blood group incompatibility between the mother and the baby, but it can also be due to other reasons. Your important job is to prepare for the next pregnancy, you and your husband should do some other tests such as:
Test for chromosomal disorders to detect genetic abnormalities in the couple husband. Test for antiphospholipid syndrome (one of the causes of stillbirth). Abdominal ultrasound to check the reproductive organs for abnormalities or abnormalities. Medical examination and function of heart, liver, kidney, lung, .. Hormone test ... You have Rh negative blood group and received 1 shot of Anti D immunoglobulin before the procedure to cause miscarriage to neutralize the anti-Rh antibodies present in your blood. Therefore, the next time you get pregnant, you need to have an additional antibody screening test during the first trimester of pregnancy, during the 28th week of pregnancy and at birth. Antibody screening tests are used to detect antibodies against Rh(+) blood. If you have not started producing Rh antibodies, you will need an injection of Anti D immunoglobulin. Immune globulin prevents the mother's body from producing Rh antibodies during pregnancy, which helps to protect the pregnancy from causing hemolysis in the fetus. So, you should not be too worried about being Rh negative. In the period of preparing for pregnancy after stillbirth, the couple should have a healthy diet and supplement with all groups of substances: starch, protein, fat, vitamins and minerals. You should eat more vegetables and fruits to help strengthen the body's resistance. In addition, you also need to absorb about 400 mcg of folic acid for the body to make the next pregnancy safer. Exercise daily, drink smoothies or participate in healthy games to ensure an ideal health. Always maintain a cheerful, relaxed spirit even if you have just suffered a shock. Because when you are stressed, fatigue will affect the process of conceiving later!
Thank you for sending your question to Vinmec Health System. Best regards!
Specialist I Pham Thi Yen - Obstetrician - Obstetrics and Gynecology - Vinmec Hai Phong International Hospital
