Erythroblastosis Foetalis
Maternal and Child HealthPreventive Medicine in Obstetrics, Paediatrics and Geriatrics
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This occurs:
- If the fetus is Rh positive and
- mother is Rh negative
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Some fetal red cells cross the placenta and enter maternal circulation in all pregnancies
- The Rh +ve fetal cells act as foreign antigen and stimulate production of Rh antibodies in the Rh negative mother
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The Rh antibodies are of two main types:
- The ‘strong’ or saline antibodies and
- The ‘weak’ or albumin antibodies: these are small 7s gamma globulins which can cross the placental barrier.
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The ‘weak’ or albumin antibodies pass back into the blood circulation of the fetus
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When this happens, the RBC of the fetus are destroyed
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If this damage is severe, the fetus is killed in utero and results in miscarriage
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If the damage is less severe, the infant is born with
- jaundice,
- anemia and
- edema
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This symptom complex is known as Rh hemolytic disease or erythroblastosis foetalis
Reference:
- Park’s Textbook of Preventive and Social Medicine, 23rd ed.
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