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ABO incompatibility

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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ABO incompatibility problems arise in two situations:

  • blood transfusion - the transfusion of ABO incompatible blood results in an immediate and life-threatening heamolytic transfusion reaction

  • in pregnancy - ABO system incompatibility may cause a mild form of haemolytic disease of the newborn. For example if the mother is blood group O and the child is blood group A, then there is a marked increase in the titre of anti-A haemolysins, but these drop back to normal levels after the pregnancy. Thus in this type of incompatibility, unlike in Rhesus disease, there is no increased risk for the next pregnancy.

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