The main treatment for Rh incompatibility is the Rho immune globulin. It is given by injection to the mother at 28 weeks and at 72 hours after delivering a baby. This injection may also be given after abortions or other terminated pregnancies. This gamma globulin, also known as RhoGam, prevents the formation of antibodies that may affect other pregnancies.
Other procedures that may be necessary for treatment include:
Depending on the degree of Rh incompatibility, the child may need physical therapy and a ventilator, or artificial breathing machine, for breathing difficulties.
Side effects of medications include stomach upset, rash, and allergic reaction. Side effects of blood transfusions may include lethargy, muscle twitching, bleeding, and reaction to the blood being transfused. Many of the therapies may interfere with parent bonding. Encouraging parent bonding between treatments and making adjustments so parents can partake in care of their baby when possible will allow for more parent bonding.
When the incompatibility is diagnosed and treated quickly, the infant may recover quickly without further problems, or with exchange transfusion. Infants who developed more severe Rh reactions and are untreated may suffer severe nerve or brain damage, requiring life-long treatment with therapy to adjust to the world physically, mentally, and medically.
The healthcare provider should be contacted if an infant who has been exposed to Rh incompatability develops a fever, yellowing of the skin, poor appetite, poor weight gain, or inconsolable crying.