The document discusses Rh incompatibility, which occurs when a mother has Rh-negative blood and the fetus has Rh-positive blood. This can cause the mother's immune system to produce antibodies against the fetus's Rh-positive blood. The presentation covers the causes, symptoms, diagnostic tests, complications, treatments, and nursing management for Rh incompatibility. Nurses must ensure gentle removal of the placenta if needed, use of Rh-negative blood for transfusions, early umbilical cord clamping, and involvement of pediatricians in postpartum care including administration of IVIG if needed.

1. OBSTETRIC NURSING
PRESENTATION ON TOPIC
Rh INCOMPATIBILITY
SUBMITTED TO SUBMITTED BY
Respected Mrs. Laxmi ma’am Soni
Nursing Tutor 03750306619
CON, VMMC & SJN. Bsc (Hons) Nursing IV year
CON, VMMC & SJN

2. Rh FACTOR

3. Rh INCOMPATIBILITY

4. DEFINITION

6. CAUSES

7. PATHOPHYSIOLOGY

10. SYMPTOMS

11. Severe Form – Rh Incompatibility

13. DIAGNOSTIC TESTS

14. OBSTETRICS HISTORY

16. Events Of Rh Incompatibility

17. COMPLICATIONS

18. PROPHYLACTIC VACCINATIONS

19. TREATMENT

22. NURSING MANAGEMENT

23. ANTIBODY DETECTION

24. DURING DELIVERY
 Ensure consultation with pediatrician
 If manual removal of placenta is required do so gently
 If blood transfusion is indicated use Rh- negative blood
only
 Early clamping of umbilical cord is indicated
 Leave a long length of cord about 15 to 20cm

25. POSTPARTUM MANAGEMENT
 Involves pediatrician
 Send cord samples for ABO/Rh typing , Hb, bilirubin levels
 If foetus is Rh negative, no further intervention
 If foetus is Rh – positive determine the dose of IVIG to be
administered by a 4 – steps laboratory procedure.