Being Pregnant

Why I’m Not Skipping RhoGAM

Posted by katie on February 10th, 2012 at 3:09 pm

shot 300x200 Why Im Not Skipping RhoGAMI’ve known since I was 18 that my blood type is B-. My mom and dad are both Rh negative, so my sister and I are in the same boat. I always knew my blood type was pretty rare and prior to when I had the brain surgery that disqualified me from donating ever again, I was a frequent flier at my local blood bank. But what I didn’t know was that being Rh negative (having a negative blood type), could present a potential problem in pregnancy.

My husband doesn’t know what his blood type is, so, as is standard practice, we are assuming he is positive and that means we need to proceed with caution. You see, being an Rh negative mother with a (potentially) Rh positive partner can mean bad things for the baby. I won’t go into the dry sciencey details, but an Rh negative mother being exposed to Rh positive blood (as can and often does happen during pregnancy) can result in pregnancy complications because the blood types are incompatible and the mother’s body sees the positive blood as an invader and attacks it. And so they developed a shot, called RhoGAM, to help prevent this complication.

I had already realized that this shot was in my future, but earlier this week I read on a pregnancy message board about a woman, and several others in the comments, who were opting out. And I just couldn’t understand.

I am no fan of shots, but I’m also not afraid of them. I used to get weekly allergy shots (which, to be fair, are done with the tiniest needles ever), I’ve had all my vaccines and more blood draws than I even want to talk about. I know as well as anyone that needles are no fun. I know that all shots have potential side effects. But the risks of Rhogam are pretty minimal and the risks of not getting it are even greater.

The reported side effects of the shots, which are given at 28 weeks, after delivery and at any episodes of bleeding during pregnancy, range from soreness at the injection site (spoiler alert: it’s a shot in the butt!) to fever, chills or a headache. The side effects of not getting the shot include your baby developing anemia, jaundice or even heart failure, as well as increased sensitization that could cause your body to attack future pregnancies. I am all about having the least number of medical interventions possible, but the shot has been studied thoroughly and has never been found to harm your baby, and we know conclusively that opting out, can.

I’m not thrilled about having to go to the doctor next week and drop trou for this shot, but I simply cannot fathom the alternative. I respect everyone’s right to make their own informed decisions when it comes to medicine, but to me, the risks of not doing it far outweigh the risks or fear that could associated with these shots.

Information on side effects found at RhoGAM’s website.

Read more from Katie on Overflowing Brain!

Follow Katie on Facebook and Twitter for updates!

 Why Im Not Skipping RhoGAM

Go Back To Being Pregnant

22 Comments

I too needed the RhoGAM shot. Although I received it in the arm. Sorry your butt’s in the firing range. I’ve never heard of people opting out. How is this even a possibility? The negative side effects are so great. As you mentioned, your body can attack future fetuses. There are women who were never able to have more children because they didn’t receive the shot. In addition, the danger to the child should be convincing enough.
I had a miscarriage and needed the shot as well. It certainly added emotional insult to injury at the time but was absolutely necessary.
Certainly having never heard of the option to opt-out makes me less informed to answer, but I’m surprised nonetheless. Off to do more research but I’ll be getting it again for sure.

Lisa commented on Feb 10 12 at 3:19 pm

Not getting Rhogam is insane. Having a negative blood type as a mother and a baby with a potentially positive blood type, can literally kill all future pregnancies if you don’t get Rhogam. I don’t understand why anyone would opt out, unless you were maybe absolutely positive that you only wanted one child (and even the, what if your first child dies for an unrelated reason during the pregnancy and you haven’t gotten Rhogam and you want to try again?). I read a sad story once of someone’s grandma (in pre-Rhogam days) who lost TEN babies this way, after her first and only living child. I think the only way to fix it other than preventing it w/Rhogam is to do an in-utero blood transfusion for the baby during the next pregnancy…not easy (and don’t quote me on that because I am not a medical professional.)

Blue commented on Feb 10 12 at 3:36 pm

I also got the shot and it was a bit tender to sit on hard chairs the next day. My grandmother lost several babies due to Rh incompatibility. It was a miracle for her when rhogam was developed and she was able to have more children. I never considered opting out.

Kim commented on Feb 10 12 at 3:53 pm

I am Rh negative, with an Rh positive husband. I am 21 weeks pregnant right now, and received the shot with both of my pregnancies (one ectopic miscarriage, one healthy baby) and it didn’t work. My delivery with my son was traumatic, and we didn’t discover that I had developed antibodies to the Rh antigen until I was 10 weeks pregnant. We have been advised to not have another pregnancy, as the antibodies will increase with each subsequent pregnancy, putting the baby in danger.
We are currently monitoring the baby weekly with ultrasounds. They measure the bloodflow to the baby’s brain, as if the baby is anemic, there will be increased bloodflow to the brain. If the bloodflow is borderline, we have increased ultrasounds. If they feel the baby is at risk, we would start doing the in-utero blood transfusions. If the baby is at risk after 30-ish weeks, they will deliver the baby and do the transfusion then (as there are less risks, obviously, even with a pre-term delivery). Even if the baby goes to full term, it will likely need a transfusion and be jaundiced, so we are pretty much set on a NICU stay no matter what. There are also many other side effects that are unknown – they are measuring the bloodflow to the brain, and use that as the measure of whether to do the transfusion, but at the same time the baby’s other organs can be suffering and have negative consequences that we won’t know about until delivery. So far, our scans have been good, and the stress is manageable, but the thought that every time I go to the doctor (which is often) it could end up with me having to travel to a larger hospital to have an emergency transfusion is hard.

Maren commented on Feb 10 12 at 4:26 pm

Why don’t you just find out what your husband’s blood type is? Then you might not need to get the shot, if he’s negative too.

Kel commented on Feb 10 12 at 4:27 pm

I was born with an ABO Incompatibility in the stone ages and was treated with ‘bili lights’ instead of getting a complete blood transfusion. My siblings both took my mom’s O- while in my case, my dad’s B+ won out.

I also thought it was interesting after my first child was born that they don’t type babies – I won’t know my son’s blood type until an emergency arises or he becomes a donor.

MB commented on Feb 10 12 at 4:34 pm

I’m terrified of needles, but honestly, my three RhoGAM shots were easy. I barely felt them. I didn’t think anyone could opt out, but had I known, I’d still get the shots, especially since my daughter was born with a positive blood type. Good luck!

Meg commented on Feb 10 12 at 5:00 pm

I am Rh negative and had the Rhogam happily. I never considered opting out I cannot fathom why anyone would take such a risk.

Susan commented on Feb 10 12 at 5:25 pm

My blood type is O negative :). I would definitely find out your husband’s blood type before signing up for the shots.

Mom commented on Feb 11 12 at 2:04 am

I had the Rhogam shots. My grandmother on my fathers side wasn’t able to get the Rhogam shots when she was pregnant with my dad as the negative/positive blood type risks weren’t known back then. My dad was born a positive blood type and my grandmother suffered infertility as a result of it. Luckily my aunty was adopted a few years later, but I know the infertility is something that still pains her. She was very happy to know I was having the shots and couldn’t fathom somebody taking the risks associated with not having them.

Brigette commented on Feb 11 12 at 6:40 am

Hahaha. Sorry mom. I should do better fact checking.

However, all of my husband’s siblings have positive blood types, as does his mother, and the risks of the shot are pretty much nonexistent. He has also had the lab slip to get his blood type tested for a month and has yet to get his butt to the lab, so, I’ll be getting the shot on Tuesday morning. Be prepared for many phone calls about how much my butt cheek hurts. :)

katie commented on Feb 11 12 at 1:17 pm

I just got my shot this week (28 weeks) and am A-. The last shot I had in the rear hurt for a good 3 weeks, so my nurse opted to give it to me in the shoulder rather than the rear, and it was not soar AT ALL! It was awesome! It really depends on the person administering the shot as to how long it can hurt. So make sure to have a chat with the person giving you the shot, as it can make all the difference!

Emily commented on Feb 11 12 at 1:52 pm

My Grandma lost 4 children because of beeing Rh negative. And my mother only survived because she got a full bloodexchange directly after birth. My mom was the 6 kid my grandparents had and the first and second baby survived because the first baby came way to early and they got lucky he survived. But the second child was severly handicapped and my grandparents had to put her in an Orphanage at age 5. The younger sister of my mom did not survive the blood exchange and my mom was sinmply lucky.
So not getting the shots, that is something I can’t understand. I would never risk the heartbroke my grandma had.

Jana from Germany commented on Feb 11 12 at 2:32 pm

You must have confused my blood type with my grade point average.

Mom commented on Feb 11 12 at 2:53 pm

In the butt? Mine was in my shoulder…

I generally opt out of most everything– no flu shots for me, no eye ointment for baby, etc.,… but rhogam just made sense for me.

wren commented on Feb 11 12 at 11:18 pm

They recommend RhoGAM for all Rh- women–regardless of their partner’s blood type–because of what’s euphemistically known as “mistaken paternity.” If you’re Rh- and you’re 100% sure that the father is also Rh-, you could skip the shots.

Interesting historical fact: some historians believe the repeated miscarriages Anne Boleyn suffered were the result of Rh incompatibility.

Rachel commented on Feb 12 12 at 8:52 am

What is the reason for opting out??

I got the Rhogam shot (in the butt – really it’s more like the back of your hip) when I miscarried my first pregnancy. But when I got pregnant again we had my husband’s blood tested and since he is also Rh- I no longer get the shot. I certainly would if I needed it though… really don’t see what the big deal is. I had no side effects at all and I doubt they are very common.

Erin Human commented on Feb 12 12 at 9:21 am

I have Rh-negative blood, my son is positive and my daughter is negative. I recently got the Rhogham shot for this pregnancy. It hurt, but only for a few days….more a sensitivity than real pain. Not getting the shot is insane. The side effect risks are just too great. I didn’t need the follow up shot with my daughter since we have the same blood type.

To MB who stated that they don’t type babies anymore, I think that must just be at your hospital/clinic. In order to know whether to give the 2nd dose of Rhogham, the Dr. MUST know what babies blood type is so they are typed right away. At least my kids were (and my youngest is 1yo)

Tammy Malf commented on Feb 12 12 at 2:38 pm

My husband is A-, so if I was negative I’d probably decline an extra medical procedure I know I wouldn’t need and which would just be one more thing to pay for. That’s the only reason I can see not to get it, though, and if you’re not sure of the father, or the father’s blood type, there’s really no reason to opt out.

Mama Wrench commented on Feb 12 12 at 4:13 pm

My OBGYN totally messed up thinking I was A-, when in reality I’m A+ and I kept telling them REPEATEDLY that I’m A+ and to redo the blood test. It wasn’t until my delivery did they confirm that I was actually A+. Needless to say, I’m not going back to those drs for my next pregnancy!

Donna commented on Feb 12 12 at 5:22 pm

I’ve noticed that there is a HUGE culture of distrust for physicians and modern medicine in this country. It’s foolishness to not get Rhogam. It’s entirely too big of a risk and any mother who is RH negative with an RH positive partner and STILL refuses to get the rhogam injection is essentially committing child abuse.

Katy E commented on Feb 12 12 at 7:29 pm

I opted out. Why, because I am a- and my husband is o- and after tons and tons of research I decided that it wasnt needed. I had no reason to get it when I had no reason to question who my baby daddy is, I received it with my son because I didn’t know my husbands blood type but we confirmed his blood type through the military so I had no reason to question my decision this time. Also just to confirm, the shot doesn’t do anything to your current pregnacies if the blood mixes then it can prevent you from having successful pregnancies in the future because your body treats the pregnancy as a virus And attacks it.

Amanda commented on Feb 12 12 at 7:47 pm

Add your take:

Note: Babble is a supportive, diverse community. We encourage a range of opinions,
but any unduly hostile comments will be removed.


Comments are delayed up to 15 minutes

  • MailChimp

    Sign up for Babble

  • iPhone App Ad

  • Best of Babble.com


    Most Popular on Facebook

  • Aela Mass
  • Casi Densmore-Koon
  • Rebekah Kuschmider
  • CaitlinHTP (Caitlin Boyle)
  • Michelle Horton
  • Ceridwen Morris
  • Katie
  • Devan McGuinness
  • Disney Online Moms & Family Portfolio

    The Walt Disney Company supports Babble as a platform dedicated to honest, engaged, informed, intelligent and open conversation about parenting. However, the opinions expressed on this site are those of individual parents/writers and do not reflect the views of Disney. In addition, content provided on this site is for entertainment or informational purposes only and should not be construed as medical advice, diagnosis, treatment, or safety advice. Click here for additional information. Privacy Policy | Terms of Service | Interest-Based Ads