Question
Doctor, under your guidance, I went to the blood bank for an ABO hemolytic test, and the test report is as follows: Female: B/RH negative; Male: Type B. IgM antibodies in the female serum neutralize male red blood cells. How should this report be interpreted?
Answer
The female has a B/RH negative blood type. Individuals with RH negative blood types cannot accept RH positive blood because the antigens in RH positive blood can stimulate RH negative individuals to produce RH antibodies. If RH positive blood is transfused again, it may lead to a hemolytic transfusion reaction. Based on your situation, you can have your first child. For women with RH negative blood types, the amount of antibodies produced during their first pregnancy is usually not enough to cause fetal disease. However, if the first child is RH positive, it is not advisable to have further children.