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Second level

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Fourth level

Fifth level

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Fetal Edema – Hydrops fetalis

Marked jaundice enough to cause nuero damage

Severe hemolysis – Erthoblastosis Fetalis

Anemia

CHF

If dad is rh neg, no problem can only express negative allele

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Monitor Amniotic fluid for change in optical density

Percutanious umbilical sampling (PUBS) to determine hct

<30% transfuse

On who? Direct/indirect?

Transplacental hemmorhage

Provides passive antibody protection

Lower dose earlier in Pg

Anti a and anti b antibodies may develop outside of pregnancy….food, gram neg bacteria etc

Bili lights, fluids