Rh factor
Quick Summary
The Rh factor is a system for classifying blood groups based on the presence or absence of the Rh antigen on red blood cells. Discovered in 1940, the most significant Rh antigen is RhD.
Problems arise when Rh-incompatible blood is transfused. If an Rh-negative person receives Rh-positive blood, their immune system can produce anti-Rh antibodies. Subsequent transfusions of Rh-positive blood can lead to a severe, potentially fatal, reaction where red blood cells are destroyed.
A similar issue occurs during pregnancy if an Rh-negative mother carries an Rh-positive fetus. While the first child may be unaffected, the mother can develop antibodies that attack subsequent Rh-positive fetuses, causing hemolytic disease of the newborn. This condition, erythroblastosis fetalis, can be fatal. Fortunately, treatments like Rh immunoglobulin injections can prevent this immunization and protect future pregnancies.123
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