Understanding Blood Groups and Types

A Comprehensive Guide to Blood Classification Systems

Internal Medicine

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Last updated: Mar 24, 2025

What Are Blood Groups?

Blood groups are classifications of blood based on the presence or absence of specific antigens on the surface of red blood cells. These classifications are crucial for safe blood transfusions and medical procedures.

The ABO System

Main Blood Types

  • Type A: Has A antigens on red cells and B antibodies in plasma
  • Type B: Has B antigens on red cells and A antibodies in plasma
  • Type AB: Has both A and B antigens on red cells; no A or B antibodies in plasma
  • Type O: Has neither A nor B antigens on red cells; has both A and B antibodies in plasma

The Rh Factor

  • Rh-positive (Rh+): Indicates presence of Rh factor
  • Rh-negative (Rh-): Indicates absence of Rh factor

Clinical Significance

Transfusion Compatibility

  • Type O-negative is the universal donor
  • Type AB-positive is the universal recipient
  • Incorrect matching can cause severe transfusion reactions

Pregnancy Considerations

  • Important during pregnancy due to potential Rh incompatibility
  • May require special monitoring if mother is Rh-negative

Distribution in Population

  • Type O: ~44% of population
  • Type A: ~42% of population
  • Type B: ~10% of population
  • Type AB: ~4% of population

Testing and Determination

  • Simple blood test can determine blood type
  • Usually tested at birth or before medical procedures
  • Important for medical records and emergency situations

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