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Erythroblastosis Foetalis

Maternal and Child HealthPreventive Medicine in Obstetrics, Paediatrics and Geriatrics

  • This occurs:

    • If the fetus is Rh positive and
    • mother is Rh negative
  • 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
  • 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.
  • The ‘weak’ or albumin antibodies pass back into the blood circulation of the fetus

  • When this happens, the RBC of the fetus are destroyed

  • If this damage is severe, the fetus is killed in utero and results in miscarriage

  • If the damage is less severe, the infant is born with

    • jaundice,
    • anemia and
    • edema
  • 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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