WOMENS-HEALTH Messages for November, 1999: Re: ABO incompatability-for Christine Smith

Re: ABO incompatability-for Christine Smith

From: Christine (anonymous@obgyn.net)
Thu, 4 Nov 1999 23:58:16 -0600 (CST)

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In reply to: JHC: "Re: ABO incompatability-for Christine Smith"

At Thu, 04 Nov 1999, JHC wrote: >
>Christine,
>
>Thank you for your response. I am sure that they did type the donor. I
>was given a list of anonymous donors to choose from, and her blood type
>was not listed. Prior to the embryo transfer, I asked if blood type was
>going to be a problem and the doc said that it shouldn't be because I
>was Rh +.
>
>The reason it concerned me, was that my son became jaundiced within the
>first 12 hours of life, and even with phototherapy his bili hung around
>14 for a month. The Pediatrician was not overy concerned, but we were
>in the office every other day for bili levels and occasionally for retic
>counts to see if he was hemolyzing.
>
>I as earlier stated, I am probably worrying about things unecessarily. I
>guess I shouldn't worry about things that have not happened yet. Once
>again, thank you for your response.
>
>--
>JHC
>
>>At Thu, 28 Oct 1999, JHC wrote:
>>>
>>>As I am typing this message, I wonder if I should be asking this of a
>>>Pediatric forum.... but here goes anyway. I am going to undergo IVF
>>>next month, and will be using donor eggs (again). My husband is blood
>>>type A-, the donor of the eggs is either A- or O-, and I am O+. The
>>>last time I did this, using the same donor (was not documented at the
>>>time of egg retrieval), my son was born with an ABO incompatability
>>>(positive Coombs). It did not present a big problem, other than having
>>>to be under phototherapy for about a week. I know that ABO
>>>incompatability is not as serious as a missed Rh incompatability, but is
>>>this something I should worry about? I am sure over the next few weeks I
>>>will find a multitude of things to worry about.
>>>
>>>Regards,
>>>JHC
>>
>>Hi JHC:
>>If the donor is type A then your chances of having an A baby is quite
>>high, but I don't think that *necessarily* means ABO incompatibility. If
>>the donor is type O then your chances of an A baby may be a little
>>lower. I'm kind of curious, don't they type the donor?
>>
>>Chris S.
>

Hi JHC: Okay, now I get it! I was a little slow. :<) I guess the doctor said that it wouldn't be a problem because usually ABO incompatibility is not that serious. But as you found out, it can be a problem and create a lot of anxiety. There is a chance the baby could be O, but even if not, you might not have as great a problem as you did the first time. I hope everything goes well.

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