RhIg is also indicated in these special circumstances:
- Antepartum fetomaternal hemorrhage (FMH), suspected or proven as a result of placenta previa, amniocentesis, chorionic villus sampling, cordocentesis, other obstetrical manipulative procedures (eg, external version or abdominal trauma such as may occur in a car accident or fall)
- Therapeutic abortion
- Vaginal bleeding during pregnancy
- Loss, or threatened loss, of fetus at any gestational stage
- Ectopic pregnancy
For these non-routine indications, depending on the level of medical care the pregnant woman receives or the awareness level of the risks involved, there is increased potential for RhIg to be administered inappropriately or not at all.