Monday, April 22, 2013

Erythroblastosis fetalis

ABO or Rh Ag incompatibility between mother and fetus.
- erythroblasts, reticulocytes.
- maternal alloimmunization to fetal RBC Ags. ( prior pregnancy exposure to feel Rh Ags) => maternal Abs react against fetal RBCs

- Severe Fetal hemolytic anemia
- extramedullary hematopoiesis
- HIGH indirect Bilirubin => KERNICTERUS & jaundice
- fetal HF, fetal generalized edema.

Treat: transfusion
Preventive methods : anti-D IgG to D-negative mothers during delivery of D -positive child.

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