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Erythroblastosis Fetalis

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Erythroblastosis Fetalis

by
Jeanifer Aggarao

Mrs. Carrig
July 23, 2007
Table of Contents

Definition 1
Pathophysiology 2
Signs and Symptoms 3
Risk Factors 5
Diagnosis 6
Treatment 8
Nursing Responsibilities 10
Psychosocial Implication 10
Bibliography 12
Definition

Erythroblastosis fetalis is a fatal hemolytic disease of the newborn (HDN) caused by incompatibilities in the blood groups between the mother and her unborn child during pregnancy. Because of the incompatibility, the mother's immune system may launch an immune response against the red blood cells of the fetus through the placenta, resulting in the destruction of the red blood cells (hemolysis). In the destruction of the red blood cells, the fetus can develop anemia. The red blood cell destruction ranges from mild to very severe, and fetal death from heart failure can occur, as well as life-threatening problems for future pregnancies. The Rhesus system (Rh) blood group antigen is responsible for most of the fatal cases of erythroblastosis fetalis, hence, the term Rh incompatibility disease. However, other alloimmune antigens belonging to the Kell (K and k), Duffy (Fya), Kidd (Jka and Jkb), MNSs (M, N, S, and s), Diego, Xg, P, Ee, Cc antigen systems, as well as other antigens may also produce the disease. Incompatibilities of Landsteiner (A, B and O) blood group systems do not cause erythroblastosis fetalis. A French midwife reported the first case of HDN in a set of twins, in 1609. In 1932, Diamond and colleagues described the relationship of fetal hydrops, jaundice, anemia, and erythroblasts (immature red blood cells) in the blood circulation, a condition later called erythroblastosis fetalis. Levine later determined the cause after Landsteiner and Weiner discovered the Rh blood group system in 1940. In 1953, Chown subsequently confirmed the pathogenesis

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