Patient's question:
I am O-negative blood type, and my husband is A-positive. When I wanted to have a child and went to the hospital for a check-up, the doctor told me that my anti-A1 was 256. I didn't know what it was before, and the doctor explained to me that it was fetal hemolysis. I would like to ask if anti-A1:256 is serious.Doctor's answer:
Certainly, it's high. Generally, 32 is normal, while 64 and 128 are considered moderate, and 256 is quite high. The hospital should prescribe some preventive hemolysis medication for you, and you need to take it consistently. You'll need to have blood tests every two months. If you stop taking it, the numbers will change as well. Neonatal hemolysis is very serious, so you must take it seriously. I was always on medication and maintained it at 64, rarely going down to 32. So, if you can keep it at 64 or 128, there shouldn't be any major issues. The hospital prescribed traditional Chinese medicine for me back then, though it was very bitter, but for the sake of the baby, I still persisted. If you're at 1:256, your daily medication dosage should be higher.