Rhesus "Rh" disease

From Anthony Nolan Medical Guidelines
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Acceptability at Recruitment

ACCEPT

Acceptability at CT / Work-Up

QUALIFIED

Individual at Risk

Donor / Recipient

Explanation of Condition

A type of "alloimmune" Haemolytic Anaemia affecting the Foetus and Newborn. During pregnancy small amounts of foetal blood cells can enter the mother’s circulation. Certain types of events where this occurs are during childbirth, miscarriage or abortion, trauma, and invasive procedures such as amniocentesis. Once the foetal Rh-positive red blood cells enter the bloodstream of a Rh-negative mothers triggering production of anti-D antibodies. After the first exposure maternal memory immune cells make IgG antibodies, which are smaller and can then cross the placental barrier into the foetal bloodstream marking the foetal red blood cells for destruction causing a foetal haemolytic anaemia.

https://en.wikipedia.org/wiki/Rh_disease

Guidance

Discuss with medical officer. Establish treatment received - if any blood transfusions received (when and how many) or other e.g. IVIg

Pseudonyms or Related Conditions

Haemolytic Anaemia

Version

Version 1, Edition 1

Date of Last Update

6th May 2026