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We don't titre because we don't have anything to do with the mother's care, but I know the hospital down the street tracks the titre. As for the panel/screen, I take the antigen profile and circle all the required antigens. Then I select a cell that is homozygous for each one. I sometimes have to use cells from other panels or screens. I know the rule is that you can substitute two heterozygous cells for one homozygous cell, but I never do that if I can help it.

We do as Baby Banker does, create a selected cell panel to rule out everything else. The game we play is how few cells can we run and have a valid rule out panel We have had several patients that we do every 3 days until delivery. One of our patients had Anti-c and Anti-E.

If you know she has anti-E, you can probably put together a custom screen of E negative cells. That screen would only be positive if she developed another antibody. Be careful that you cover all the antigens that the FDA requires. That list used to be in the Technical Manual. I think it is D, C, E, c, e, M, N, S, s, P1, Lea, Leb, K, k, Fya, Fyb, Jka, Jkb.

Hello All, I passed the test last week. Thanks to all the board members. I learned a lot from all the topics discussed here as well as the educational material.

Nice work, congrats! When I was doing my SBB training our reference lab manager/educator had an running bet, she'd buy dinner for any student that took an SBB exam and didn't get a question about anti-D,C and G. Don't think she has bought anyone dinner yet

I would be very worried about any extension, for exactly the reason you have given (i.e. that she is pregnant) and has already shown herself to be a responder.