![]() The estimated blood loss according to her medical records was 500ml. She had had a spontaneous vaginal delivery at 5.40am and arrived at the Ridge hospital at 8.30am. She had been referred from a polyclinic as a case of primary postpartum haemorrhage (PPH) due to retained placenta. Madam VD 32 years, G2 P2 was first seen at the Ridge Hospital Accra, on 26/5/12. ![]() The aim of this paper is to share our experience with other health care providers. She was managed at the Regional Hospital, Ridge-Accra. She had a subsequent normal term pregnancy with no detectable anti D antibodies throughout the pregnancy. We present a 32-year-old Rh D negative para 2 woman with a prior Rh D positive blood transfusion without anti D immunoglobin. About 20% of volunteer Rh D individuals given 500ml of Rh D positive blood will not seroconvert 1 and for individuals needing blood transfusion about 70% will not seroconvert. These concerns may lead to delay in transfusing Rh D negative patients with Rh D positive blood, which can result in severe morbidity or even death. ![]() Another concern is future transfusion reaction if they receive Rh D positive blood transfusion again. This is more so in women of the reproductive age because of the fear of Rhesus alloimmunization and subsequent haemolytic disease of the newborn. Clinicians sometimes are confronted with the challenge of transfusing Rhesus (Rh) D negative patients with Rh D positive blood under critical conditions to save life. ![]()
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