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Date: | Tue, 25 Oct 2005 14:28:55 EDT |
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In a message dated 10/25/2005 6:51:57 AM Pacific Standard Time,
[log in to unmask] writes:
Find out if a Coombs test or direct antibody test was done on the baby.
This test detects the presence of an antibody that may be causing hemolysis
or destruction of ed blood cells. If this is negative, there is no
incompatibility.
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Sorry - not exactly true. Sometimes the direct coombs is negative because
the red cell is completely covered in antibody. An indirect coombs (also called
antibody elution test) is then necessary to detect a true ABO incompatibility
when suspected. ABO incompatibilities are usually less severe than Rh, but
still considered "hemolytic" jaundice, and are treated as such. It is not
necessary to stop breastfeeding or give pedialyte or other substances with ABO
incompatibility.
Nancy E. Wight MD, IBCLC, FABM, FAAP
Neonatologist, Children's Hospital & Sharp Mary Birch Hospital for Women
Medical Director, Sharp HealthCare Lactation Services
San Diego, CA
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