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NeonatologyNeonatology

Section I. Basic Management > 

Chapter 12. Blood Component Therapy

Topics Discussed: blood banks; blood component transfusion; blood products; blood transfusion, autologous.
Excerpt:"Blood banking procedures
  1. Type and screen. Whenever possible, samples from both mother and infant should be obtained for initial ABO group and Rh (D) type determination.
    1. Investigations on the maternal sample should include:
      1. ABO group and Rh (D) type.
      2. Screen for atypical red cell antibodies by an indirect antiglobulin technique (IAT).

    2. Investigations on the infant (or umbilical cord) sample:
      1. ABO group and Rh (D) type.
      2. Direct antiglobulin test performed on neonatal red cells.
      3. In the absence of maternal serum, infant's serum is screened for atypical antibodies by an IAT.


  2. Type and cross-match. In addition to ABO group and Rh (D) type, this includes mixing donor red blood cells (RBC) and maternal or infant serum (or both) to inspect for any reaction. Infants rarely make alloantibodies in the..."
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