The Risk of Rh Isoimmunization in Ruptured Tubal Pregnancy

In 9 (24%) out of 38 African women who had suffered a ruptured tubal pregnancy significant numbers of fetal erythrocytes (5 or more per 150,000 maternal cells) were found in the maternal circulation. This is a higher incidence than occurs after abortion and indicates that rupture of a tubal pregnancy is a potential source of Rh isoimmunization. The finding of fetal cells in the peritoneal cavity suggests that this is the main source of the fetal blood found in the maternal circulation. At operation on Rh-negative patients with ruptured tubal pregnancies, therefore, complete removal of the peritoneal blood should be attempted and the blood recovered should never be transfused into the patient, who should always receive prophylactic Rh immunoglobulin.     

ABO Incompatibility and parity effects on perinatal mortality

Abstract

The perinatal mortality rate is known to increase with parity. This parity effect is shown to be steepest for “O"‐type mothers, compared to mothers with blood groups A, B, or AB. Thus, there is a heightened parity effect in mothers who are likeliest to be antigenically dissimilar from their fetuses. This model may also be germane to other clinical conditions where negative parity effects are observed. Maternal‐fetal immunoreactivity is a likely explanation for parity effects on perinatal mortality attributable to ABO incompatibility and may also contribute to the occurrence of negative parity effects in other conditions.     

茵陈蒿汤联合西药治疗母儿ABO血型不合疗效分析

目的：评价中西药结合治疗对母儿ABO血型不合的疗效以及新生儿溶血发生与孕次关系的探讨。方法：对314例抗体滴度≥l：64的ABO母儿血型不合孕妇（20-45岁）进行研究,其中246例孕期给予以中西药结合治疗（茵陈蒿汤联合25%葡萄糖液、维生素C、维生素E、苯巴比妥）,68例作为对照,观察孕妇IgG抗A/B抗体效价变化及新生儿溶血发生情况。结果：治疗组抗体效价降低与对照组相比,差异有统计学意义（P〈0.05）,治疗组新生儿溶血发生率与对照组相比,差异有统计学意义（P〈0.05）。孕次越大,新生儿溶血的发生率越高。结论：中西药结合治疗对降低孕妇IgG抗A/B效价及防治新生儿溶血疗效满意,新生儿溶血发生可能与孕次呈正相关。     

ABO and Rh blood groups in diabetes mellitus

The present investigation was conducted with a view to testing the hypothesis that there is some association between blood groups (ABO and Rh) and diabetes mellitus. 520 proven cases of adult diabetes mellitus from the Diabetic Clinic of Rajendra Hospital, Patiala, were studied in 1979-1980. A large sample of 6204 normal individuals studied by Jolly et al. (1969) for ABO and Rh blood groups was taken as control for comparison with the patients. There is a strong indication of an association of diabetes mellitus with blood groups, especially with A, AB and Rh-positive blood groups. The maximum differences are in the AB groups in the two series and minimum in the A group. Individuals with gene p seem to be more susceptible to this disease. Thus the association between blood groups and diabetes mellitus is not a chance finding, but implies an aetiological relationship.     

ABO and Rh D polymorphism among Tibetans in India

A study of ABO and Rh D polymorphisms was conducted on 923 Tibetans living in exile in four different places (both high and low altitudes) in India. The frequencies of alleles p, q, and r for the ABO blood group system were found to be 0.1295, 0.2544, and 0.6152, respectively, and for alleles D and d of the Rh blood group system the allele frequencies were 0.9428 and 0.0572, respectively, for the total data. No significant difference was found for the allele frequencies among the four places for the two blood group systems. The allele frequencies were in Hardy-Weinberg equilibrium for the ABO blood group system and show East Asian affinity for the Tibetans.     

Association of ABO and Rh blood groups with breast cancer

ObjectivesThe aim of this study was to determine the association of “ABO” and “Rhesus” blood groups with incidence of breast cancer.MethodsIn this study, we identified 70 research documents from data based search engines including “PubMed”, “ISI-Web of Knowledge”, “Embase” and “Google Scholar”. The research papers were selected by using the primary key-terms including “ABO blood type”, “Rhesus” blood type and “breast cancer”. The research documents in which “ABO” and “Rhesus” blood types and breast cancer was debated were included. After screening, we reviewed 32 papers and finally we selected 25 research papers which met the inclusion criteria and remaining documents were excluded.ResultsBlood group “A” has high incidence of breast cancer (45.88%), blood group “O” has (31.69%); “B” (16.16%) and blood group “AB” has (6.27%) incidence of breast cancer. Blood group “A” has highest and blood group “AB” has least association with breast cancer. Furthermore, “Rhesus +ve” blood group has high incidence of breast cancer (88.31%) and “Rhesus –ve” blood group has least association with breast cancer (11.68%).ConclusionBlood group “A” and “Rhesus +ve” have high risk of breast cancer, while blood type “AB” and “Rhesus –ve” are at low peril of breast cancer. Physicians should carefully monitor the females with blood group “A” and “Rh +ve” as these females are more prone to develop breast cancer. To reduce breast cancer incidence and its burden, preventive and screening programs for breast cancer especially in young women are highly recommended.     

Distribution of the ABO system and Rh factor in Sardinia

The authors examine the genetic structure of the Sardinian population based on the gene frequencies of the ABO blood group system and the Rh factor. The sample, composed of 13,972 individuals, is subdivided on the basis of altitude zones (mountain, internal hills, coastal hills and plains) and by historical-geographic zones. Also examined are the frequencies of a group of communities of different altitude and historical-geographic zones. The results point to genetic heterogeneity within both altitude and historical-geographic zones as well as within the single communities. A distribution gradient is seen for the IA and I0 alleles of the ABO system, namely: mountains, internal hills, coastal hills, plains.