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Old 06-07-2012, 08:27 AM   #1
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Question Att Nurses... Glucose & RoGam Shot Question

OK Question for you nurses.... My Doc will NOT let me opt out of the glucose test or the RoGam shot. Alittle history... I am Rh Neg, & I had a RoGam shot @ 11wks, the nurse said I need one every 13wks after the 1st shot( that's news to me) and I have only gained 8lbs. So why do I need the nasty glucose test??? And should I find a different doctor??? Thanks

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Old 06-07-2012, 09:37 AM   #2
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Re: Att Nurses... Glucose & RoGam Shot Question

The Rhogam is usually not given for the first time until around 23 weeks of pregnancy and then after baby is born if baby is RH positive, so I am blown away at why they are focing you to have it at least 2 times during pregancy. I am a RN and RH -. I have opted out of Rhogam completely during this pregnancy, but I am also having a home birth where intervention is unlikely. If I somehow ended up needing it because of possible sensitization after baby is born then I will take it. When Rhogam first came out it was used only in RH- mothers who were sensitized to the positive blood type of baby. This occurs rarely in a natural birth and is usually caused by vacuum extraction, an epesiotomy that cuts both mama and baby, internal monitor placement, amniocentesis, pulling on the placenta to get it out, or other invasive techniques that could potentially cause mixing of baby and mama blood. The placenta does not mix the blood. (If you were in a car accident or something like that this could happen as well then it would be indicated.) When RhoGam first came out they were using it for less than 15% of cases of RH - mothers. Now they use it in every case. So prevention of mixing blood is the key. No internal intervention that could mix blood, wait until the cord has stopped pulsating prior to cutting and delivering the placenta (this is good for baby too.)
I was forced with both of my previous pregnancies to do the glucose test and have RhoGam. But I also went to an OB for both pregnancies.
I am not having the glucose test done this time either. I know what signs to look for and have none of them. Most OB's test every mother for GD during pregnancy even without indication like glucose in the urine or symptoms. It can be difficult to find an OB ok with not checking especially if you are overweight (like me.) I would at least talk to him about an alternative thing besides glucola, like jelly beans or my sister had to eat a specific breakfast 1 hour prior to her blood test. I think hers included 1 egg, 2 pieces of toast with 1 pat of butter on each piece, 8 oz of orange juice and her MW knew what a normal bg after that breakfast would be. I know how dr's can be and it may be worth while to find someone more open minded or just have a good conversation and refuse. Part of your rights as a patient is the right to refuse treatment and to know the risks and the benefits of that treatment so you can make a choice in your treatment. Bring that up if you have to. If he "fires" you he has to give you a notice in writing giving 30 days as your dr.
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Old 06-07-2012, 10:08 AM   #3
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Re: Att Nurses... Glucose & RoGam Shot Question

Thanks!!!
I have asked if I don't take the glucouse test and was told I would be treated as a diabetic. I am either not asking the right questions or something like that but they won't tell me the signs to look for GD sooo, I am not sure what to do.
Another odd thing is why do I need the RhoGam shot if its "good" for a yr. I get a card saying when it "expires" from the ER. I have no problem doing after the baby is born if I need it.
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Old 06-07-2012, 10:08 AM   #4
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Re: Att Nurses... Glucose & RoGam Shot Question

Thanks!!!
I have asked if I don't take the glucouse test and was told I would be treated as a diabetic. I am either not asking the right questions or something like that but they won't tell me the signs to look for GD sooo, I am not sure what to do.
Another odd thing is why do I need the RhoGam shot if its "good" for a yr. I get a card saying when it "expires" from the ER. I have no problem doing after the baby is born if I need it.
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Old 06-07-2012, 01:21 PM   #5
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Re: Att Nurses... Glucose & RoGam Shot Question

I'm doing my glucose test tomorrow with my MW at home. I just have to drink 10 oz of purple grape juice and they take my blood an hour later. I doubt I have GD, although I don't know all the signs and symptoms, but my test is easy enough so I don't mind it.
Don't know anything about Rh really. DH and I are both A+.
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Old 06-07-2012, 01:21 PM   #6
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Re: Att Nurses... Glucose & RoGam Shot Question

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Old 06-07-2012, 01:26 PM   #7
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Re: Att Nurses... Glucose & RoGam Shot Question

Well NOT a nurse, but I had two Rhogam shots this pregnancy. I experienced some slight bleeding around 11 weeks/12 weeks.. so they gave me the Rhogam shot as an extra precaution. I had it done recently.. I think like.. 28-29 weeks, roughly. I had my Rhogam shot with my first pregnancy at the normal time; I had no bleeding with that pregnancy. Did you bleed at all in the beginning of this pregnancy?

I wasn't allowed to opt out of my GD test either and I guess I'm ok with it. It was easy peasy and I knew it would come back negative. I had only gained like 6-8lbs. I figure just doing it is better than being treated as if I do have diabetes.
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Old 06-07-2012, 06:22 PM   #8
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Re: Att Nurses... Glucose & RoGam Shot Question

Signs of diabetes include increased thirst, urination, hunger, fatigue, blurry vision, weakness, and weight gain. There are others but these are the most common.
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Old 06-07-2012, 10:13 PM   #9
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Re: Att Nurses... Glucose & RoGam Shot Question

No matter the situation, you ALWAYS have the right to opt out of any procedure. Whether it be rhogam, glucose testing, group b strep, intravenous antibiotics, ultrasound, cesarean, etc. Even if the alternative is death to you or your baby, you have the right to say no. Your doctor can refuse to continue to see you, but if you can't agree to disagree, you're probably better off anyway.
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