Evaluation of Rh Negative Pregnancies at a Tertiary Care Hospital in Western Rajasthan

Background: The objective of this study is to Evaluation of Rh negative pregnancies at a tertiary care hospital in western Rajasthan. Methods: In this study, the labor was monitored carefully and the mode of delivery and the outcome of labor was studied in detail. Baby was thoroughly examined for any congenital anomaly, weight, sex and condition was also noted particularly for hydrops. If neonate was Rh positive, thenthe mother was given postpartum immunoprophylaxis within 24 hrs of delivery. The newborn were followed for 3 days and were watched for the development of jaundice. Mother advised to attend postnatal clinic for check-up after 6 weeks of delivery. Results: Blood group distribution of newborn: 22 were Rh negative and 226 were Rh positive. Raised antibody titre was found in one case. According to gestational age at delivery most women delivered at 37-40 weeks, 3 women delivered after 40 weeks and 15 delivered between 32-37 weeks. The baby has hyperbilirubinemia managed by phototherapy. The newborn who had anemia immediately after birth were carefully monitored and considered for exchange transfusion. Conclusion: Although Rh isoimmiminzation and erythroblastosis fetalis due to Rh incompatibility has now become a preventable disease. Yet the problem of Rh negative pregnant patients still remains as a major problem for developing countries. This is because most of our patients do not get any antenatal advice and facility for hospital delivery. there must be awareness about the problem of Rh negative blood group in the general population