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Explain Rh factor in brief....

Explain Rh factor in brief.

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Rh factor is a protein (D antigen) present on the surface of the red blood cells in majority (80 %) of humans. This protein is similar to the present in Rhesus monkey, hence the term Rh. Individual who carry the antigen D on the surface of the red blood cell are `Rh^(+)` (RH positive ) and the individuals who do not carry antigen D, are `Rh^-` (Rh negative) .Rh `Rh^(-)` and the foetus is `Rh^(+)` incompatiblitiy (mismatch) is observed . During the first pregnacy. the Rh antigens of the foetus does not get exposed to the mother's blood as both their blood are separated by placenta. However, small amount of the foetal antigen becomes exposed to the mother's blood during the birth of the irst child. The mother's blood starts to synthesize D antibodies. But during subsequent pregnancies the Rh antibodies from the mother (Rh) enters the foetal circulation and destroys the foetal RBCs. This becomes fatal to the foetus because the child suffers from anaemia and jaundice. This condition is called erythroblastosis foetalis. This condition can be avoided by administration of anti D antibodies (Rhocum) to the mother immediately after the first child birth
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Knowledge Check

  • Which of the following is true about Rh factor in the offspring of a parental combination DdXDd (both Rh positive)?

    A
    All will be Rh-positive
    B
    Half will be Rh positive
    C
    About 3/4 will be Rh negative
    D
    About one fourth will be Rh negative
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