Do you need a referral for anti-D injection?

Anti-D, also called rhesus prophylaxis, is considered according to your blood group, your pregnancy history, and events that could allow fetal blood to mix with your blood. Your maternity team reviews these details and the timing of any event before arranging treatment.

A routine referral may be handled by your midwife, obstetrician, or pregnancy clinic. If bleeding, abdominal injury, a procedure, or another pregnancy event needs immediate review, the hospital team can assess you and arrange anti-D when indicated.

Ask your maternity provider whether you need an appointment, where it will take place, and what records are required. Tell them promptly about vaginal bleeding, a fall or blow to the abdomen, abdominal pain, or any procedure during pregnancy.

Keep your blood-group result and pregnancy notes available. Do not postpone urgent assessment while waiting for a routine referral or trying to arrange an injection yourself.

Contact urgent maternity care for vaginal bleeding, significant abdominal pain, abdominal trauma, leaking fluid, regular contractions, dizziness, or reduced fetal movement. Explain that you may need assessment for anti-D as well as care for the symptom.

Ask whether your blood group makes anti-D relevant, what event prompted the recommendation, how soon you should receive it, and whom to contact after further bleeding or an injury. Check whether follow-up blood testing is needed.