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Crossmatching Maternal and Fetal Blood in Sheep

Musk, G.C., Adams, M.J.ORCID: 0000-0002-7743-4515, Usuda, H., Kemp, M.W. and Sharp, C.R.ORCID: 0000-0002-1797-9783 (2018) Crossmatching Maternal and Fetal Blood in Sheep. Comparative Medicine, 68 (4). pp. 294-297.

Link to Published Version: https://doi.org/10.30802/AALAS-CM-17-000126
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Abstract

We investigated the incidence of ex vivo incompatibility between ovine maternal RBC and fetal plasma. Time-mated singleton pregnant ewes (n = 8) underwent cesarean delivery of the fetus; at the time of delivery, paired maternal and fetal blood samples were collected and subsequently separated for storage as packed RBC and fresh frozen plasma. Gel column crossmatching was performed 3 to 4 wk later. All fetus–dam crossmatches were considered major crossmatches, combining fetal (recipient) plasma with dam (donor) RBC. The plasma of 8 fetuses was cross-matched with RBC from 5 dams; all autologous controls were negative, and all but one crossmatch (1 of 40, 2.5%) were considered compatible. In addition, the plasma of 3 dams was crossmatched with RBC from 5 dams; all autologous controls were negative; however, significant incompatibility was noted. In total, 4 of 13 (30.8%) dam–dam crossmatches were considered incompatible. The results of this initial study suggest that when a single animal receives multiple blood-product transfusions, the risk of an immunologic transfusion reaction can be reduced by ensuring that the blood products are obtained from a single donor, performing a crossmatch prior to transfusion, and the use of synthetic products to increase the oxygen carrying capacity of fetal blood.

Item Type: Journal Article
Murdoch Affiliation: School of Veterinary and Life Sciences
Publisher: American Association for Laboratory Animal Science
Copyright: © 2018 American Association for Laboratory Animal Science
URI: http://researchrepository.murdoch.edu.au/id/eprint/43562
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