Q.

Erythroblastosis foetalis can occur if

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a

husband Rh- and wife is Rh+

b

both husband and wife are Rh-

c

mother is Rh+ and foetus is Rh-

d

mother is Rh-  and foetus is Rh+

answer is D.

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Detailed Solution

Erythroblastosis foetalis (Haemolytic Disease of Newborn)occurs due to Rh incompatibility if the mother is Rh-ve and the foetus is Rh+ve. Rh antigens of the foetus do not get exposed to the Rh-ve mother in the first pregnancy as the two bloods are well separated by placenta. However during the delivery of the first child, there is a possibility of exposure the maternal blood to small amounts of the Rh+ve blood from the foetus. Such a sensitized mother prepares antibodies against Rh antigens. In case of her subsequent pregnancies, the Rh antibodies from the mother of Rh-ve can leak into the blood of the foetus and destroy the foetal RBCs. This disorder is termed erythroblastosis foetalis.
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Erythroblastosis foetalis can occur if