Blood Bank Guy Essentials Podcast

090CE: RHD Genotyping; We Can do Better! with Sue Johnson

May 19, 2021
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INSIGHT

Clear Definition For Serologic Weak D

  • Define serologic weak D as any initial typing ≤ 2+ or any discordant D result versus prior records.
  • This clarifies who should be considered for RHD genotyping rather than ambiguous reporting.
ADVICE

Genotype Prenatal Weak D Cases

  • Genotype pregnant and childbearing-age women who show serologic weak D or discordant D results.
  • Use RHD genotyping results to guide RhIG administration and transfusion decisions.
INSIGHT

Weak D Types 1–3 Behave Like D Positive

  • Weak D types 1, 2 and 3 are common and rarely provoke anti-D formation.
  • Treat those molecularly confirmed types as RHD positive for pregnancy and transfusion.
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