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Q.

HDNB can be prevented by administering

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a

Rh antigens to the mother

b

Rh antigens to the foetus

c

Anti-Rh antibodies to the mother 

d

Anti-Rh antibodies to the foetus

answer is C.

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Detailed Solution

Erythroblastosis foetalis or Haemolytic Disorder of Newborn (HDNB) can be avoided by administering anti-Rh antibodies to the mother immediately after the delivery of the first child. Rh incompatibility is observed between the Rh-ve blood of a pregnant mother with Rh+ve blood of the foetus. Rh antigens of the foetus do not get exposed to the Rh-ve blood of the mother in the first pregnancy as the two bloods are well separated by the placenta. During the delivery of the first child, there is a possibility of exposure of the maternal blood to small amounts of the Rh+ve blood from the foetus. In such cases, the mother starts preparing antibodies against Rh antigen in her blood. In case of her subsequent pregnancies, the Rh antibodies from the mother (Rh-ve) can leak into the blood of the foetus (Rh+ve) and destroy the foetal RBCs. This could be fatal to the foetus or could cause severe anaemia and jaundice to the baby, which is termed HDNB.

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