Bethany and Molly return to record with Dr. Markham, a well-loved maternal fetal medicine specialist who has treated many HDFN babies. They cover many questions submitted by allo moms including: 

Does a high titer or low titer mean the baby is antigen positive or negative? 

If mom’s antibodies are too low to titer, what does that mean for the rest of the pregnancy? 

Is it too risky to pursue another pregnancy with a titer of 2,048? 

Is it safe to have an external cephalic version (ECV) for breech babies in alloimmunized pregnancy? 

What is the best mode of delivery for an alloimmunized pregnancy? 

When should we deliver if the pregnancy didn’t need IUTs? If the pregnancy is low titer? 

Can antibodies cause hydrops or death without a high MCA Doppler ultrasound first? 

How has a patient made you, the doctor, feel valued? 

Can obesity make IUTs more difficult? 

The women close with some patient-submitted stories of the most shocking thing that happened during an IUT, with Dr. Markham sharing a hilarious one of her own. 

Delivery timing 37-38 weeks:  ACOG Medically Indicated Late Term and Early Preterm Deliveries. 

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