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i m wrong.... -
can it be A2B with Anti A1??
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Dear Malcom and rravkin, unfortunately the baby expired on 7th day , due to sepsis. We gave two incompatible exchange transfusion as a life saving measure, since the baby developed kernicterus. We got the detailed history, the mother is of gravida 6, 3 live birth and 3 abortions and phenotyped one kid, father and maternal grandmother of kid. We contacted our referral center in Mumbai, before processing further ,baby expired..
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we will try to contact blood bank in Mumbai ..
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In pondicherry, India. Will try to find compatible blood among their relatives.....
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Dear Malcom, thanks for your explanation. Exchange transfusion for the baby, we thought of bleeding mother for compatible blood, since she is pallor,we were left without option. As the baby is with kernicterus now, we gave incompatible blood for this baby.What other alternative can we do now for this patient? We used direct spin reagent for phenotyping.
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we got a day5 old newborn blood sample for exchange transfusion,we did grouping of both the new born and mother- both were A1positive. we x-matched 2 A1pos PC with mother's sample, both were incompatible. Babys DCT was positive Mothers ICT was positive- panreactive 4+ with Diamed 3 cell and 11 cell panel Mothers DCT was negative.Mother was multigravida with previous 2 child,no H/o Jaundice. we phenotyped both the baby and mother Baby: D+ C- E- c+ e+ K+ k+ Fya+ Fyb+ S+ s+ Mother: D+ C- E- c- e- K- k+ Fya+ Fyb- S+ s+ In mother :Is it possible to present only with D+ and neg for rest of the Rh antigen? if so then can we suspect Anti f in this case? with regards Mohandoss
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great explanation, in a simpler way
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testing for BNP(Brain natriuretic peptide) can help a little.
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very useful explanation
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I am Mohandoss, doing my masters in transfusion medicine in India