Anti-D immunoprophylaxis within the accident and emergency department

Perhaps the way forward is shown in a more recent RCOG guideline, on the management of early pregnancy loss. 2 The same dilemma is dealt with in a caveat "if there is clinical doubt then anti D should be given". [...]more conclusive information is to hand, rather than obfuscating the issue, a return to a policy of administering anti-D to all rhesus negative women with early pregnancy bleeding seems a more plausible option.