Experience with erythroblastosis fetalis?

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antique_blush24

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Anyone have any experience with this? I need someone to interview about this for a project and my teacher gave us only this weekend to work on it. No doctors around the area want to give me the time of day, but she said med students were acceptable interviews. Could anyone who's dealt with this answer me a couple of questions? please? bitte?
 
Anyone have any experience with this? I need someone to interview about this for a project and my teacher gave us only this weekend to work on it. No doctors around the area want to give me the time of day, but she said med students were acceptable interviews. Could anyone who's dealt with this answer me a couple of questions? please? bitte?

Do we have to have had the disease? How about if we were jaundiced in the newborn period but didn't have this disease? Why don't you ask your questions and I'm sure we can give you some answers almost as good as Wikipedia or emedicine could.

Meanwhile, is your occupation really a lifeguard? and why did you ask the question using the term erythroblastosis fetalis here, but used the term hemolytic disease of the newborn in the Allo forum? And, what does bitte mean?

I only have until tomorrow to get the answers and I'm too lazy to google "bitte".

Regards

OBP
 
If anyone has dealt with a patient with this. And yes I really am a lifeguard, and "bitte" means please in german (it is my native tongue). my questions are:

1) What the most used method of treatment is
2) The biggest risks in using that treatment
3) How soon does the fetus have to be treated?
4)Possible complications
5) Patient's worries when informed of the disease

oh and I had it listed as hemolytic disase.... on the other post because that's what i'm researching, but i was told to focus on erythroblastosis fetalis.
 
1) What the most used method of treatment is

not severe = phototherapy
more severe with anemia but bili under preset levels = blood transfusion without exchange
most severe = double volume exchange transfusion.

Intravenous immunoglobulin (IVIG) is widely used as adjunct therapy.
Supportive cardiopulmonary care for any hydrops-related issues.

2) The biggest risks in using that treatment

that the patient will die from the exchange transfusion

3) How soon does the fetus have to be treated?

fetus? oh, if you want to talk about in utero treatment, try the OB board. I'm a baby doctor.

4)Possible complications

Of therapy: That the patient will get an infection, will get a bloodborne illness from the transfusion or will die from the exchange transfusion (less than 0.5% risk of death in the past, near zero in a full-term infant with modern day neonatal care).

Of the disease: Depends on severity - if the baby is hydropic, they could die of cardio-respiratory failure. From high bilirubin itself - a lousy condition called kernicterus that you can look up easily.

5) Patient's worries when informed of the disease

If you mean the patient who has the disease, we see relatively little worry amongst them. Their parents are worried that the patient (their baby) will get an infection, a bloodborne illness or will die from the disease or its theapy. That assumes we've told them of these problems or they've read it on the internet.