Rhogam shot AFTER 28 weeks?

Zeri · Sep 13th, 2009, 08:44 AM

Hi,
I'm A- and need to be looking at taking the Rhogam shot soon. My gyno says that it's usually taken at 28 weeks, then (sometimes) with a booster at 34 weeks (?), and then after delivery.

However, he says that because the shot is expensive, he sometimes gives it to clients at a later point - at 34 weeks and after birth only. He says it doesn't ABSOLUTELY have to be given at 28 weeks - that's just the standard time frame.

The cost of the shot in my area is about $120 US. Pretty expensive... My insurance will reimburse it but I still have to pay out of pocket first. Because of this I'm considering just having the shot at 34 instead.

Anyone know anything about this? e.g implications of having the shot at this time instead of 28 weeks? Has anyone ever taken the shot that late?

Thanks for any feedback!

K477uk · Sep 13th, 2009, 09:41 AM

I had the shot at 28 weeks and at 34 weeks, but I am of the understanding that lots of places only do a shot at 34weeks...(then after birth) and people have been fine with that. The actual science behind the difference I am not sure!

Mynx · Sep 13th, 2009, 10:14 AM

I had my anti d shot on Thursday (28 weeks) but I'd also had one around 17 weeks due to a knock to my bump at work, they gave me the jab at the hospital as a precaution. I asked if I was gonna have another one at 34 weeks and they said no, this one would be enough till the baby's born. I dont know why they're not gonna give me the 34 week shot but I guess they know what they're doing

soootired · Sep 13th, 2009, 11:57 AM

In some places in the uk they now only give one jab at around 30 weeks. This is instead of the one at 28 and 34 as it is a double dose i think?

Siyren · Sep 13th, 2009, 14:31 PM

i had a double dose at 28 weeks, but i've had two more in this pregnancy. once because i had a small bleed, and the second because i managed to walk into a door handle (not sur i should be admitting that again pmsl)
tbh im not sure it'll matter waiting as my mom also has negative blood and when she was carrying me the standard practise was to just give a shot of anti-d after the birth if the baby was positive.
obviously times have moved on slightly lol but i hope that helps x

Zeri · Sep 13th, 2009, 23:40 PM

Thanks for your comments!

I'm going to discuss it some more with my doc tomorrow.

ofatu · Sep 14th, 2009, 00:03 AM

You dont have to have the shot at all until after the birth and even then only if bubs is a postiive blood group. I get my blood tested and if it shows that I need it I would have it. I dont like getting blood products or anything else for that matter as a just in case. Up until about 6 years ago it was only offered after birth here in Australia. With my first four children I didnt get it until after they were born. With this pregnancy everything had changed and I was informed I had to have it. I politely declined and my blood tests show that I dont need it.

Sep 13th, 2009, 08:44 AM	#1
Zeri Mum (Mom) Chat Happy BnB Member Join Date: Apr 2009 Location: Caribbean Posts: 1,737	Rhogam shot AFTER 28 weeks? Hi, I'm A- and need to be looking at taking the Rhogam shot soon. My gyno says that it's usually taken at 28 weeks, then (sometimes) with a booster at 34 weeks (?), and then after delivery. However, he says that because the shot is expensive, he sometimes gives it to clients at a later point - at 34 weeks and after birth only. He says it doesn't ABSOLUTELY have to be given at 28 weeks - that's just the standard time frame. The cost of the shot in my area is about $120 US. Pretty expensive... My insurance will reimburse it but I still have to pay out of pocket first. Because of this I'm considering just having the shot at 34 instead. Anyone know anything about this? e.g implications of having the shot at this time instead of 28 weeks? Has anyone ever taken the shot that late? Thanks for any feedback!

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Sep 13th, 2009, 09:41 AM	#2
K477uk Mum (Mom) Chat Happy BnB Member Join Date: Oct 2008 Location: Nottingham Posts: 1,842	I had the shot at 28 weeks and at 34 weeks, but I am of the understanding that lots of places only do a shot at 34weeks...(then after birth) and people have been fine with that. The actual science behind the difference I am not sure!

Status: Offline

Sep 13th, 2009, 10:14 AM	#3
Mynx Mum (Mom) BnB Addict Join Date: Sep 2008 Location: Norfolk, UK Posts: 8,438	I had my anti d shot on Thursday (28 weeks) but I'd also had one around 17 weeks due to a knock to my bump at work, they gave me the jab at the hospital as a precaution. I asked if I was gonna have another one at 34 weeks and they said no, this one would be enough till the baby's born. I dont know why they're not gonna give me the 34 week shot but I guess they know what they're doing

Status: Offline

Sep 13th, 2009, 11:57 AM	#4
soootired Pregnant (Expecting) Chat Happy BnB Member Join Date: Jul 2009 Posts: 1,974	In some places in the uk they now only give one jab at around 30 weeks. This is instead of the one at 28 and 34 as it is a double dose i think?

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Sep 13th, 2009, 14:31 PM	#5
Siyren Mum (Mom) BnB Addict Join Date: Jan 2009 Location: In a pineapple, under the sea Posts: 6,288	i had a double dose at 28 weeks, but i've had two more in this pregnancy. once because i had a small bleed, and the second because i managed to walk into a door handle (not sur i should be admitting that again pmsl) tbh im not sure it'll matter waiting as my mom also has negative blood and when she was carrying me the standard practise was to just give a shot of anti-d after the birth if the baby was positive. obviously times have moved on slightly lol but i hope that helps x

Status: Offline

Sep 13th, 2009, 23:40 PM	#6
Zeri Mum (Mom) Chat Happy BnB Member Join Date: Apr 2009 Location: Caribbean Posts: 1,737	Thanks for your comments! I'm going to discuss it some more with my doc tomorrow.

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Sep 14th, 2009, 00:03 AM	#7
ofatu Pregnant (Expecting) Active BnB Member Join Date: Sep 2009 Location: Australia Posts: 17	You dont have to have the shot at all until after the birth and even then only if bubs is a postiive blood group. I get my blood tested and if it shows that I need it I would have it. I dont like getting blood products or anything else for that matter as a just in case. Up until about 6 years ago it was only offered after birth here in Australia. With my first four children I didnt get it until after they were born. With this pregnancy everything had changed and I was informed I had to have it. I politely declined and my blood tests show that I dont need it.

Status: Offline

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