Irregular Antibodies in the Obstetric Patient
作者:
JOHN QUEENAN,
BARRY SMITH,
JANE HABER,
JACQUELINE JEFFREY,
HENRY GADOW,
期刊:
Obstetrics & Gynecology
(OVID Available online 1969)
卷期:
Volume 34,
issue 6
页码: 767-771
ISSN:0029-7844
年代: 1969
出版商: OVID
数据来源: OVID
摘要:
In an 8-year study of 18,378 consecutive obstetric patients, irregular antibodies were detected in 299 (1.62%). The incidence of anti-Rha(D) sensitization was 1.66%. The most commonly encountered irregular anti-bodies were: anti-rh´ (C), anti-rh (E), anti-Kell, anti-Lebanti-Lea, and “unidentified.” No neonatal death could be attributed to an irregular antibody alone. Most of the serious problems occurred with the irregular antibody in combination with anti-Rha(D). Routine screening of all Rh-positive and all Rh-negative patients is advisable to provide optimum obstetric care. A cord antiglobulin (Coombs') test must be done oh all patients to alert the clinician to the possibility of erythroblastosis fetalis and the blood bank to rare antibodies, obviating problems if the patient should require a blood transfusion.
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