I have a culture started on the unit. After some checking I found that she is 28 weeks pregnant, and having issues, but I don't know exactly what issues. I did a D-Dimer and it is 4060 ng/mL - our upper range is 400 ng/mL. Protime and Ptt are within normal limits and the platelet count is 248,000. Malcolm, ethnic origin is Caucasian. No previous blood bank history at any facility. Her last Hgb is 8.6 so she has stopped the hemolysis process, or at least it appears so. The physician wants to transfuse the third unit, but I have said "NO", feeling it too risky right now. Thanks for all the input - I am a little confused by this one! Thanks, John