What medical condition is treated and prevented with the use of RhIg (Rhogam)?

Study for the ABOG Oral Boards Obstetrics Test. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

The use of RhIg (Rhogam) is essential in the treatment and prevention of Hemolytic Disease of the Fetus and Newborn (HDFN), specifically that caused by Rh incompatibility. This condition occurs when an Rh-negative mother carries an Rh-positive fetus, leading the mother’s immune system to potentially produce antibodies against the fetal Rh-positive blood cells. These antibodies can cross the placenta and attack the fetus’s red blood cells, causing hemolysis, anemia, jaundice, and even serious complications such as heart failure or stillbirth.

RhIg is administered to Rh-negative pregnant individuals typically around the 28th week of gestation and again after delivery if the baby is Rh-positive. This treatment works by preventing the mother from developing antibodies against Rh-positive blood cells by clearing any Rh-positive cells that may enter her circulation, thereby reducing the risk of HDFN in current and future pregnancies.

The other conditions listed do not relate to Rh incompatibility. For instance, gestational diabetes primarily involves the management of glucose levels during pregnancy, hyperemesis gravidarum is characterized by severe nausea and vomiting, and placenta previa pertains to the placental location affecting delivery. Each of these conditions requires distinct management strategies unrelated to the use of Rh

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