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Lactation Information and Discussion <[log in to unmask]>
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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