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Blood Groups
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Blood Groups
Blood Groups are the distinguishing of blood by their antigenic properties. These properties are determined by the substances found on the surface of the red blood cells. There are approximately 200 blood group substances identified and categorized into 19 distinct systems. The most common system is the ABO system.

What is the ABO system?
The ABO system consists of people with blood groups A, B, AB or O. Individuals may contain the A, B or both or none of the antigenic substances. Any individual that lacks any one of the antigens will develop antibodies against it at birth. For example, a person with blood type A will develop anti-B agglutinants. Agglutinants causes blood to clump together and can possibly form a blood clot making the blood extremely viscous.
This is why practitioners must be certain of your blood type before you can make a blood donation or before you receive any donated blood from a donor. A mix-up in the blood types during transfusion could be fatal to the receiver as the blood would agglutinate within him forming numerous blood clots eventually leading to death.

Blood Groups
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What are genotypes and how are they related to blood groups?
Genotypes are the genetic make-up of an organism, the genes and its respective alleles. Your blood group is greatly dependant upon your parent’s blood groups. Each person has two copies of gene coding for their ABO blood group, one maternal while the other paternal in origin. A and B blood groups have been observed by scientists to be dominant over the O blood group. A and B blood groups were also found to be co-dominant, which means that they can co-exist and if a person has genes for both, he could possess both the A and B blood group antigens, hence he does not form any antibodies and can take in all types of blood.

Below provides a table summary of the blood group, the red cell antigens and possible inherited genotypes :
Blood group Red Cells Antigens Antibodies Genotypes
A A Antigens Anti-B antibodies AA or AO
B B Antigens Anti-A antibodies BB or BO
AB AB Antigens None OO
O None Anti A and Anti B antibodies AB

Note that the genotypes come in pairs. They represent the double ABO gene coding that we have from our parents.

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What is the Rhesus Factor? 
The Rhesus factor is named after the Rhesus monkey that it was named after. Irregardless of our blood type, we all have a pair of rhesus genes. Depending on whether we are rhesus positive or negative, the rhesus factor will affect our heredity line. 
The rhesus positive is commonly known as D and the rhesis negative is commonly known as d. 

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How is it passed through heredity? 
As mentioned, we all inherit two rhesus genes, one from each parent. A person is rhesus negative if they have inherited a d gene from each parent (d/d) A person is rhesus positive if they have inherited either a D gene from both parents or a D gene and a negative d gene. 
If you have inherited a rhesus positive gene and a rhesus negative gene, you are most likely to be rhesus positive as the D gene is more dominant as compared to the d gene. Hence it is possible to it is possible to have a rhesus negative baby and a rhesus positive father. 

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Problems with Pregnancy 
If the mother is rhesus negative and has a rhesus positive baby for the first time, there would be no complication whatsoever as her body has not developed any antibodies what the body recognizes as “foreign” which in this case refers to the baby. However, in her second pregnancy, if the baby is still tested to be rhesus positive, the mother’s body would have already developed antibodies against the rhesus negative factor and against the baby, resulting in pregnancy complications. 
To prevent this from happening, rhesus negative mothers are usually given anti-D injections after the first pregnancy. However, anti-D injections are of no use once the pregnancy has started.

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