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Gynaecology & Obstetrics
A G4, P1, L0 female comes for antenatal checkup at 12 weeks of gestation. She has had two prior 1st trimester surgical MTPs, and delivered a 7 month boy in her last pregnancy who died 14 days after birth due to jaundice. She reveals that her blood group is B negative and that she was monitored with repeated blood tests in her last pregnancy. There is no history of anti-D administration. True regarding her management is:
Monitor the pregnancy with MCA PSV values
Weekly ICT for anti-D titres to be done
Give anti-D injection at 28 weeks if ICT negative
Give anti-D injection irrespective of the ICT result
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