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Blood Groups and Blood Transfusion

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The ABO system

  1. ABO grouping: Blood grouping is based on the presence or absence of antigen A and antigen B on the membranes of red blood cells, and antibody A and antibody B in the blood plasma.
  2. Agglutination risk: A person cannot have both an antigen and the corresponding antibody (e.g., antigen A and antibody A). This can lead to agglutination (clumping of red blood cells), which is harmful and can be fatal.

Blood group summary

Blood GroupAntigen on RBCAntibody in Plasma
AAA
BBB
ABA and BNone
ONoneA and B

Rhesus factor

  1. Rhesus factor: First observed in the Rhesus monkey, it indicates the presence or absence of a specific antigen on the red blood cell membrane.
    • Rh+: Rhesus positive (antigen present)
    • Rh-: Rhesus negative (antigen absent)
  2. Impact on pregnancy: If a Rh- mother carries a Rh+ child, her immune system may produce antibodies against the Rh factor, risking hemolytic disease of the newborn in subsequent pregnancies.

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