Clinical scenario: Rh testing in early abortion care

Translating the evidence and guidelines into person-centered counseling on Rh testing and RhIg administration in early pregnancy.
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The scenario:

A 29-year-old G2P1 (she/they) presents for medication abortion at 8 weeks of gestation, consistent with a 6-week ultrasound demonstrating a single intrauterine pregnancy. She reports, “I think I got a shot after I had my son. Do I need a shot before I take the pills?”

She reports her previous pregnancy was uncomplicated. She is not certain of her prior Rh status. She is not certain about a desire for future pregnancies.

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