NURS 3112 Chapter Notes - Chapter 20: Compression Stockings, Dietitian, Teratology
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Care of the woman at risk due to abo incompatibility. Abo incompatibility is somewhat common (occurring in 15% to25% of pregnancies) but rarely causes significant hemolysis. In most cases, abo incompatibility is limited to type o mothers with a type a or b fetus. The group b fetus of a group a mother and the group a fetus of a group b mother are only occasionally affected. Group o infants, because they have no antigenic sites on the rbcs, are never affected regardless of the mother"s blood type. The incompatibility occurs as a result of the maternal antibodies present in her serum and interaction between the antigen sites on the fetal rbcs. Anti-a and anti-b antibodies are naturally occurring; that is, women are naturally exposed to the a and b antigens through the foods they eat and through exposure to infection by gram-negative bacteria. As a result, some women have high serum anti-a and anti-b titers before they become pregnant.