Resh conflict – how to make a healthy child!
The long-awaited pregnancy can rehon the rhesus conflict. What is the danger to mom and baby, how to prevent negative consequences and how to treat this pathology you will learn from our article
Many women, being pregnant, face such a diagnosis as a rhesus conflict. Most knows that this is something dangerous for both mom and for the future kid. But what is actually a rhesus conflict during pregnancy, what are the signs of conflict, and which there are consequences from it, not everyone knows.
Theory on the conflict of rhesus factors during pregnancy
Rhow factor is an antigen, which among others was detected on the surface of blood cells (red blood cells). But not all people have it in stock. So, if there are proteins called red blood cells «Rh Factors», then you are rezv-positive, and if this antigen is missing – Rh-negative.
It turns out, people are divided into carriers of rhesus-positive and rh-negative factors.
It is impossible to proceed from the name of the Rhs in order to determine which one is good and what bad. They are just different. However, people who have positive rhesus may not remember about it, and women having a negative rhesus factor must explore the information about the reserves-conflict.
If, suppose in the blood of such a person, erythrocytes with proteins of the rush system fall, they are perceived by the immune system as «Flagicles». The body urgently starts the production of antibodies. And there is a conflict of rezes.
The risk of such pathology occurs when a person is transferred incompatible with its blood rhesus and in pregnant women in the event that Mom has a negative rhesus, and the baby is positive.
What is probability
If the mother has a negative reserves of blood, and the dad is positive, then the practical 75% of pregnant women develops a rhesus conflict. In other cases, let’s say, if, on the contrary, the dad is negative, and mom – a positive conflict will not.
However, if the likelihood of the development of the conflict is high, it is not yet a reason to abandon the appearance of a joint child. First, competent prophylaxis can reduce the consequences of this event. Secondly, this pathology is not developing during pregnancy.
If such a problem arose during the first pregnancy, then it is important to know how this pregnancy is over. If the miscarriage, then sensitization (blood antibodies) will arise in 3-4% of cases, after an abortion – at 5-6%, after ectopic – in 1%, and after ordinary genera – at 10-15%.
A special risk for sensitization is a cesarean cross-section or cases of delaying placenta. That is, the more in the blood of the woman erythrocytes from the blood of the fetus, the greater the risk. In any case, it is necessary to prevent such a dangerous consequence of the rhesus conflict as hemolytic disease of the fetus.
First pregnancy
In the case of a rhesus conflict, during the first pregnancy, a woman has no antibodies, respectively, a strong conflict, because it is the first meeting of blood cells charged by different colors. If a significant amount of red blood cells arrive in the blood of mom, then the so-called, «Memory of cells», which during the second and all subsequent pregnancies pretty quickly produce antibodies against foreign blood cells.
The main signs of the rhesus conflict during pregnancy are the results of analyzes during pregnancy and immediately after the birth of the baby. The fact is that mom’s antibodies, penetrating through the placenta, penetrate the blood of the baby and attacked on red blood cells. Together with this in the blood of the child begins to produce a large number of billirubin, which paints the skin of a baby in a yellow color.
This effect is called «Hemolytic jaundice» and is the main sign of the conflict. The most terrible consequence of rhesv conflict during pregnancy is damage to the brain. The red blood cells of the child are constantly destroyed by the antibodies of the mother, the spleen and the liver at the same time increasing in size.
As a result, they cease to cope with such an attack and oxygen starvation occurs, new disorders and deviations are formed. If the case is very hard, then the edema (watering) and the fetus can die.
Treatment
The treatment of rhesus conflict during pregnancy is engaged in perinatal centers in which mom and baby are under constant supervision. If there is a possibility of developing this pathology, then the woman regularly make blood fence and control the titer of antibodies. If pregnancy can be extended to 38 weeks, then the planned caesarean section is performed.
If there is a risk of premature birth, then through the front wall of the mother’s peritoneum make the intrauterine blood transfusion into the vein of the umbilical cord in the amount of 30-50 ml of the erythrocyte substance. All this is done under the control of ultrasound.
Prevention
In order to avoid negative consequences, especially if there is a danger of a rhesus conflict with a second pregnancy, it is useful to carry out prevention. The best prevention of the resca conflict during pregnancy is the warning of the rhesv conflict. To do this, use specific d-immunoglobulin.
Immediately after childbirth, the baby takes blood for analysis and determine its Rh. And if the baby has a negative, then moms for 72 hours must be introduced this drug to prevent the development of the rhesus conflict in the following pregnancies.
An introduction of immunoglobulin is also required after ectopic pregnancy, abortion, miscarriage, transfusion of reserves-positive blood, platelet mass, trauma in pregnant women, ceiling placenta, chorion biopsy, amniocentes.
The newborn is examined for the presence of a hemolytic jaundice, the level of Billirubine in the blood is detected and the appropriate treatment is carried out. With a timely and qualitative assistance rendered, the risk of complication becomes minimal.
