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Which is the cause of Erythroblastosis fetalis?

Question

Which is the cause of Erythroblastosis fetalis?

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Solution

Erythroblastosis fetalis, also known as hemolytic disease of the newborn, is caused by a blood type incompatibility between the mother and the fetus. Here are the steps that lead to this condition:

  1. Rh Factor: The primary cause of Erythroblastosis fetalis is related to the Rh factor - a type of protein on the surface of red blood cells. If a person has the protein, they are Rh positive. If they do not have it, they are Rh negative.

  2. Pregnancy: During pregnancy, it's possible for the mother's and baby's blood to mix. If an Rh-negative mother is carrying an Rh-positive baby, the mother's immune system sees the Rh factor as foreign and can produce antibodies against it.

  3. Antibody Production: Once a woman has developed antibodies, she is sensitized. Sensitization can occur during pregnancy, labor, and delivery, or as a result of a blood transfusion.

  4. Impact on Subsequent Pregnancies: If the woman becomes pregnant again with an Rh-positive baby, her immune system will use its antibodies to attack the Rh proteins on the baby's red blood cells. This can lead to Erythroblastosis fetalis in the baby.

  5. Hemolytic Disease: The baby's system tries to compensate by producing more red blood cells quickly, but these young cells, called erythroblasts, are not as effective at carrying oxygen, leading to the symptoms of the disease.

  6. ABO Incompatibility: Less commonly, Erythroblastosis fetalis can also be caused by an incompatibility in the ABO blood group system. However, this is less severe than Rh incompatibility.

In summary, Erythroblastosis fetalis is primarily caused by an Rh incompatibility between the mother and baby, leading to the mother's immune system attacking the baby's red blood cells.

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