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Miscarriage

04/30/2007

Question:

Im 20 I had a liver transplant in 1998 done good with it no rejection or anything..Um i was 5 weeks pregnant with my first baby i miscarried Feb 5th 07 I then learned i had a blood type that is Rh Negative..and recived a shot called rhogam..the doctors seem to think i was pregant before and didnt know it apperently cause they told me i had antibodies in my blood...my liver doctors dont think my miscarriage had anything to do with the liver stuff sence i have dont so good with it...so now i have qustions that was left unansewd in this rollercoster ride i seem to be on..now im trying to figure out if theres even hope or a chance for me to have a baby..i guess my first qustion is 1..can being rh negative with the antibodies cause a miscarriage i mean they gave me the rhogam shot to protect my future babies so as long as i get them when im suppose to can i have a baby and not miscarry? and my second qustion is ...does it really matter how well i have done with the transplant i mean could it of played a factor in the miscarriage? i know my rejection medicine didnt cause it cause when i got pregnant they changed my does to a really low does ..so please give me some kinda asnew just so i know i can have my baby one day:-) thank you

Answer:

The most common ways women can develop Rh antibodies is from pregnancy (if the mother's blood type is Rh negative, the fetal blood is Rh positive and the mother did not receive Rhogam) or from a blood transfusion. You most likely received blood products when you had your liver transplant. Miscarriages are very common and usually due to genetic errors of the fetus. While I cannot say your liver transplant had nothing to do with it, my suspicion is that neither the Rh antibodies or the liver transplant was the culprit.

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Response by:

University of Cincinnati Arthur T. Ollendorff, MD
Associate Professor of Obstetrics and Gynecology
Department of Obstetrics & Gynecology
College of Medicine
University of Cincinnati
Arthur T. Ollendorff, MD