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Good morning. I am in my third pregnancy, on the 28th week. Today I got the results of the tests from a week ago, the titre of anti D antibodies is 128. Nobody reacted, they just wrote that I should have another blood test in 3 weeks. At the end of the first pregnancy it was 0:16, at the end of the second it was 0:32. I live abroad now, the midwife is taking care of my pregnancy. I am very worried if such a high titre is dangerous for my baby?

In Poland, such an antibody titer is an indication for an ultrasound examination to assess the flow in the middle cerebral artery of the fetus. The result of this examination is an indication for further diagnosis and possibly treatment of the fetus (examination of the fetal morphology, intra-fetal transfusion). Antibody testing is only an indication for the diagnosis of serological conflict. It does not say whether there is a conflict or if it is, what the severity of it is. In your case, due to the relatively high level of antibodies, a serological conflict would have to be seriously suspected. A serological conflict in the mother is a hemolytic disease of the fetus and newborn, the symptoms of which are anemia, jaundice, and generalized edema. I do not know what are the rules of caring for a patient with serological conflict in the country where you are staying, but I strongly advise you to consult a doctor and find out everything about your child's condition, risk of haemolytic disease and possible complications. You should understand everything, accept the procedure and be convinced that the pregnancy is conducted in such a way that you feel safe.

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Barbara Grzechocińska

Assistant professor at the Department of Obstetrics and Gynecology at the Medical University of Warsaw. I accept privately in Warsaw at ul. Krasińskiego 16 m 50 (registration is available every day from 8 a.m. to 8 p.m.).

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