Have a personal or library account? Click to login
Significance of immunohematologic testing in mother and newborn ABO incompatibility Cover

Significance of immunohematologic testing in mother and newborn ABO incompatibility

Open Access
|Jul 2023

Figures & Tables

Comparison of characteristics of newborns treated with phototherapy and/or blood transfusion by blood group (N = 72)

CharacteristicBlood group A (n = 41)Blood group B (n = 31)p
Sex
 M17200.061
 F2411
Mother’s D status
 D+28180.459
 D–1313
Delivery
 Vaginal34290.283
 Caesarean section72
Pregnancy order
 First184NA
 Second1310
 Third210
 Fourth or more77
DAT+39291.000
DAT+, number of hours from delivery19 (0–35.5)21 (8.75–36)0.773
Beginning of hyperbilirubinemia, number of hours from delivery26.5 (18–38)28.5 (22.5–43)0.372
Beginning of jaundice, day of life1.5 (1–2)2 (1–2)0.511
Bilirubin, μmol/L*
 Initial196 ± 50197 ± 500.924
 Last198.5 (170–225.5)206 (173–229)0.736
Hb, g/L
 Initial179 ± 24177 ± 300.803
 Last157 ± 25162 ± 290.587
Days of phototherapy3 (2–4.5)2 (2–3)0.072
Transfusion, %2 (5)0NA
IVIG, %1 (2.4)1 (3.2)NA
Days of hospitalization6 (5–7)5 (4–6)0.067

Cases of ABO-incompatible siblings

CaseMotherNewborn
IdentifierABO/DIdentifierYear bornSexABO/DDATTreatment
1M1O,D–N1-12017MB, D–PositiveNone
N1-22019MB, D–PositivePhototherapy
2M2O, D–N2-12018MA, D+PositiveNone
N2-22020FA, D+PositiveNone
3M3O, D–N3-12016MA, D+PositiveNone
N3-22018MB, D–PositivePhototherapy
4M4O, D+N4-12016FB, D+PositivePhototherapy
N4-22018MB, D+PositivePhototherapy
5M5O, D+N5-12017FB, D+PositivePhototherapy
N5-22019MB, D+PositivePhototherapy
6M6O, D–N6-12018FA, D+PositivePhototherapy
N6-22020FA, D+PositivePhototherapy
7M7O, D+N7-12016MA, D–PositivePhototherapy
N7-22018FA, D+PositivePhototherapy
8M8O, D–N8-12016FB, D–PositivePhototherapy
N8-22018MA, D–PositivePhototherapy
9M9O, D+N9-12016MA, D+PositivePhototherapy
N9-22018FA, D+PositivePhototherapy
N9-32020MA, D+PositiveNone
10M10O, D+N10-12016FB, D+PositivePhototherapy
N10-2*2019FNot testedNot testedPhototherapy

Comparison of characteristics of treated and untreated newborns with maternal ABO incompatibility (N = 184)

CharacteristicUntreated (n = 112)Treated (n = 72)p
Blood group
 A75410.115
 B3431
 AB30
DAT+105681.000
DAT–74
Delivery
 Vaginal77630.004
 Caesarean section349
 Unknown10
Sex
 M57371.000
 F5535
Gestational age, weeks39 (39–40)39 (38–40)0.958
Birth weight, g3425(3200–3800)3505(3155–3870)0.575
DAT+, number of hours from delivery0 (0–16)20.5 (2.5–36)<0.001
Mother’s D status
 D+1746<0.001
 D–9526
DOI: https://doi.org/10.21307/immunohematology-2023-009 | Journal eISSN: 1930-3955 | Journal ISSN: 0894-203X
Language: English
Page range: 55 - 60
Published on: Jul 5, 2023
Published by: American National Red Cross
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2023 J. Novoselac, K. Buzina Marić, V. Rimac, I. Selak, M. Raos, B. Golubić Ćepulić, published by American National Red Cross
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.