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Changing Blood Types

Mary
in Transfusion Services

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comment_6937

How did the baby have enough maternal anti-A,B to react with the transfused cells, but not have ABO HDFN?

Mabel,

That baby was such a mess we couldn't tell much of anything. On top of that, the baby was transferred to Dallas, and I never did find out the final outcome.

BC

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  • BloodBank
    BloodBank

    We are Level 1 trauma center and our policy for massive transfusion protocol states that, release O Positive unxm rbc for male patient. When specimen is received and if patient is Rh negative, we con

  • galvania
    galvania

    Am I right in thinking that you are transfusing mainly whole blood rather than red cell concentrates. I know there are still some parts of the world where this is still the norm. Obviously, the situ

  • John C. Staley
    John C. Staley

    So.... if the patient is an A and you continue to give O then you keep adding to the anti-A and anti-A,B load which continues to attack the patients cells. You are just continuing to feed a vicious c

comment_6939

I guess the baby have ABO HDFN and other type of HDFN.

In the newborn's blood stream, the cells with stronger A&B antigens had been destroyed,so it have a temporary balance.The transfused cells destroyed more than the newborn's cells because the adult's cells have stronger A&B antigens than newborn's.

Maybe the strong DAT is not due to ABO antibodies.

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