Indirect Coombs Test
Topic OverviewAn indirect Coombs test can be used to determine whether there are
antibodies to the
Rh factor in the mother's blood. In this case: - A normal (negative) result means that the mother
has not developed antibodies against the fetus's blood. A negative Coombs test
indicates that the fetus is not presently in danger from problems relating to
Rh incompatibility.
- An abnormal (positive) result means that the
mother has developed antibodies to the fetal red blood cells and is
sensitized. However, a positive Coombs test only
indicates that an Rh-positive fetus has a possibility of being harmed. A
positive test cannot indicate the amount of fetal harm that has occurred or is
likely to occur.
If test results show that antibody amounts are increasing during
pregnancy, the fetus may be at greater risk of harm. A fetus who is Rh-negative will not be harmed, even if the mother is
sensitized. CreditsByHealthwise Staff Primary Medical ReviewerSarah Marshall, MD - Family Medicine E. Gregory Thompson, MD - Internal Medicine Adam Husney, MD - Family Medicine Kathleen Romito, MD - Family Medicine Elizabeth T. Russo, MD - Internal Medicine Specialist Medical ReviewerKirtly Jones, MD - Obstetrics and Gynecology Current as of:
May 4, 2017 Last modified on: 8 September 2017
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