Dr. Tala, thanks for your sharing. Recently, I’ve met a situation that a baby is born with donor egg and father’s sperm, When we wanted to simultaneously take mother’s blood and baby’s blood for type and screen. That mother asked if it is appropriate to take her blood for the baby’s screening because she is not the owner of donor egg
Ha! Thanks Dr. Das! My friend Dr. Gayle sent us many many funny texts and pictures of this video when she saw it! It was an early video and we were trying to figure out what would be helpful! haha
While my senior nursing colleague said it is fine even though mother is not really the owner of donor egg, but she did give birth to this baby. I wondered why we should take this mother’s blood for type and screen instead of tracing the donor egg’s owner for type and screen
Is it because we wanna check whether there is any antibodies produced during pregnancy? But what’s the role of taking maternal blood for type and screen? I can’t really find the answer after searching though online 🙈Thank you Dr. Tala
Hi Jeanie- this is SUCH a good point- and something we're seeing more of (donor eggs etc). Remember that the gestational mother (the one carrying the baby- let's call her Julie) will produce antibodies based on what's happening in Julie's body. So if she is blood type O, then she will have anti-A and anti-B antibodies no matter what the growing fetus has (as all O motehrs do). If she has Rh negative (and this is her first pregnancy)- it is unlikely she will have antibodies against Rh antigens- but she may develop them this pregnancy if baby is Rh positive. Mother may also have been exposed to other antigens- eg a previous blood transfusion, so she may randomly have formed antibodies to other RBC antigens (kell, etc). So even though Julie's baby isn't biologically her own, it's Julie's antibodies that can cross placenta and break down the baby's RBCs. We ran a bilirubin series- and I wish we touched on points like this more- but maybe check out the hemolytic one. Was this answer helpful?!
Hello Maja! This is an excellent idea- one we hadn't considered before! After we get through a few more requests, we plan on starting a symptom based series (e.g. bleeding of gut, or green emesis or increase in apneas)- and then run through differentials and what we should be doing next. Thanks so much for your suggestion. We promise we'll get there eventually!
I love how you don't make the lack of artistry skills hold you back from sharing these videos. They are just gems.
Haha! I love this comment! I am the WORST artist! Glad point still gets across!
I'm learning so much from your videos...! Thank you!
We're so glad! Thanks for watching and for letting us know! Tell us if there's anything in particular you'd like us to film next?
Dr. Tala, thanks for your sharing. Recently, I’ve met a situation that a baby is born with donor egg and father’s sperm, When we wanted to simultaneously take mother’s blood and baby’s blood for type and screen. That mother asked if it is appropriate to take her blood for the baby’s screening because she is not the owner of donor egg
Answer above
Yes you’re an amazing teacher thank you for making NICU fun again
What a lovely thing to say! You don't know how much we appreciate your lovely comments!
Thanks.
Thanks for commenting!
ما شاء الله. بارك اللة فيكم
Thank you!!!
Love the illustrations 😂. Super cute
Ha! Thanks Dr. Das! My friend Dr. Gayle sent us many many funny texts and pictures of this video when she saw it! It was an early video and we were trying to figure out what would be helpful! haha
While my senior nursing colleague said it is fine even though mother is not really the owner of donor egg, but she did give birth to this baby. I wondered why we should take this mother’s blood for type and screen instead of tracing the donor egg’s owner for type and screen
Answer above
Is it because we wanna check whether there is any antibodies produced during pregnancy? But what’s the role of taking maternal blood for type and screen? I can’t really find the answer after searching though online 🙈Thank you Dr. Tala
Hi Jeanie- this is SUCH a good point- and something we're seeing more of (donor eggs etc). Remember that the gestational mother (the one carrying the baby- let's call her Julie) will produce antibodies based on what's happening in Julie's body. So if she is blood type O, then she will have anti-A and anti-B antibodies no matter what the growing fetus has (as all O motehrs do). If she has Rh negative (and this is her first pregnancy)- it is unlikely she will have antibodies against Rh antigens- but she may develop them this pregnancy if baby is Rh positive. Mother may also have been exposed to other antigens- eg a previous blood transfusion, so she may randomly have formed antibodies to other RBC antigens (kell, etc). So even though Julie's baby isn't biologically her own, it's Julie's antibodies that can cross placenta and break down the baby's RBCs. We ran a bilirubin series- and I wish we touched on points like this more- but maybe check out the hemolytic one. Was this answer helpful?!
Awesome
Thank you!
Can you talk about GIT bleeding in preemie? Common causes, dg and treatment. Thank you ♥️
Hello Maja! This is an excellent idea- one we hadn't considered before! After we get through a few more requests, we plan on starting a symptom based series (e.g. bleeding of gut, or green emesis or increase in apneas)- and then run through differentials and what we should be doing next. Thanks so much for your suggestion. We promise we'll get there eventually!
brief but concise
Hope was helpful! Thanks so much for watching!