Terra is Rh-negative and her husband, Marcus, is Rh-positive. Advise Terra about the consequences of this blood type incompatibility

What will be an ideal response?


Answer: Terra should know that when inherited blood types of mother and fetus differ, serious problems sometimes result. The most common cause of these difficulties is Rh factor incompatibility, which occurs in situations like Terra’s, when the mother is Rh-negative (lacks the Rh blood protein) and the father is Rh-positive (has the protein). The baby may inherit the father’s Rh-positive blood type. If even a little of a fetus’s Rh-positive blood crosses the placenta into the Rh-negative mother’s bloodstream, she begins to form antibodies to the foreign Rh protein. If these enter the fetus’s system, they destroy red blood cells, reducing the oxygen supply to organs and tissues. Intellectual disability, miscarriage, heart damage, and infant death can occur. It takes time for the mother to produce Rh antibodies, so firstborn children are rarely affected. The danger increases with each additional pregnancy. Fortunately, Rh incompatibility can be prevented in most cases. After the birth of each Rh-positive baby, Rh-negative mothers are routinely given a vaccine to prevent the buildup of antibodies.

Psychology

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