Professional Documents
Culture Documents
Samira alsagher
Elmugharif teaching hospital
Agdabia - Libya
1
Rh Isoimmunization: it is haemolytic disease of fetus
and/or neonate due to Rh Ag-Ab reaction.
Rh antigen was discovered on rhesus monkey
RBCs (hence the name)
People having Rh antigen on their RBC are named
Rh+ve and people lacking it are named Rh –ve.
RH factor is lipoprotein present as component of
RBCs cell wall.
It is coded in 3 pairs of genes Cc,Dd,Ee – ( D- is
the most important because the D is dominant.
dd dd dd dd
dd Dd dd Dd
Dd Dd Dd Dd
All offspring Rh + ve
indo- eurasian 2%
african american 4-8%
Caucasian 15-16%
Basque 30-35%
Abortion
Antipartium haemorrage
Invasive prenatal testing :
chorion villus sampling
amniocentisis
cordocetisis
Accidental haemorrhage
OR
Immediate termination of the pregnancy,
and arrange for extra uterine exchange
transfusion
Zone II
Zone I
90
50
0
0
40
0
8
36
19
19
19
19
20
19
19
thanks
Samira Alsagher RH Isoimmunization 37