ABO and Rh Antigen Distribution Among Pregnant Women in South Western Uganda.

ABO Rh antigens Rh phenotypes South Western Uganda pregnant women

Journal

Journal of blood medicine
ISSN: 1179-2736
Titre abrégé: J Blood Med
Pays: New Zealand
ID NLM: 101550884

Informations de publication

Date de publication:
2022
Historique:
received: 02 02 2022
accepted: 14 06 2022
entrez: 30 6 2022
pubmed: 1 7 2022
medline: 1 7 2022
Statut: epublish

Résumé

ABO and Rh are the major blood group systems in Transfusion Medicine, the ABO system based on two red cell antigens (A, B) while the Rh has about 50 antigens of which five are highly clinically significant (D, C, A cross-sectional study was carried out on 1369 pregnant women who were recruited and provided consent to participate during their regular antenatal visits between August 2020 and July 2021. Four milliliters (4mL) of EDTA-anti-coagulated blood samples were collected and ABO and Rh-blood grouping including Rh antigen screening was done using the agglutination technology comprised of glass beads and reagent contained in a column of the Ortho Biovue ID Micro Typing System (Ortho Clinical Diagnostics, New Jersey, USA). The Rh antigen phenotypes and frequencies were then determined. There was percentage distribution of 99.8%, c 99.3%, D 94.3%, C 19.2% and E 15.9%, with Rh cDe/cDe (65.1%) being the most common phenotype followed by cDe/CDe (15%), cDe/cDE (10.8%) and cDE/cDE 0.1% least common. The ABO grouping frequency was obtained as O 49.4%, A 29.5%, B 17.0% and AB 4.1%, with D positivity at 94.3%. Population genetic variations result in varied expressions of red cell antigens that may have clinical complications. Knowledge of the presence of these Rh antigen distributions and phenotype frequencies during pregnancy help in rational management of the pregnancy, alloimmunization and better approach to safe blood transfusion.

Identifiants

pubmed: 35769868
doi: 10.2147/JBM.S360769
pii: 360769
pmc: PMC9234189
doi:

Types de publication

Journal Article

Langues

eng

Pagination

351-355

Informations de copyright

© 2022 Mbalibulha et al.

Déclaration de conflit d'intérêts

The authors declare having no competing conflicts of interest relevant to the work presented in this article.

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Auteurs

Yona Mbalibulha (Y)

Department of Medical Laboratory Science, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.

Bernard Natukunda (B)

Department of Medical Laboratory Science, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.

Okwi Andrew Livex (OA)

Department of Pathology, College of Health Science, Makerere University, Kampala, Uganda.

Sam Ononge (S)

Department of Obstetrics & Gynaecology, Makerere University College of Health Sciences, Kampala, Uganda.

Joan N Kalyango (JN)

Director Clinical and Epidemiology Unit, School of Medicine, College of Health Science, Makerere University, Kampala, Uganda.

Isaac Kajja (I)

Deputy Principal College of Health Sciences, Makerere University, Kampala, Uganda.

Classifications MeSH