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Question

What physiological circumstances lead to erythroblastosis foetalis ?

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Solution

A protein named rhesus antigen is present on the surface of red blood corpuscles. The population having this protein is called Rh positive (Rh+) while others who do not have this protein are known as Rh negative (Rh) (dominant).

Erythroblastosis Foetails occurs due to Rh incompatibility between the foetus and mother during pregnancy. Rh antigen of the foetus does not get exposed to the Rh blood of the mother in the first pregnancy. However, during the delivery of the first child, there is a possibility of exposure of the maternal blood to small amounts of the Rh+ blood from the foetus.

In such cases, the mother starts preparing antibodies against Rh antigen in her blood and during her subsequent pregnancies the Rh antibodies from the mother (Rh - ve) leak into the blood of the foetus (Rh + ve) resulting in the destruction of foetal RBCs. This could be fatal to the foetus or could cause severe anaemia and jaundice, even may lead the death of the foetus.


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