Prevalence of Rhesus c and e Phenotype Among Pregnant Women Attending Antenatal Clinic in Usmanu Danfodiyo University Teaching Hospital, Sokoto
Okwesili A1, Aliyu Bello Sani1, Onuigwe F1, Buhari Hauwa1, Bagudo A1, Ibrahim K1, Isah IZ1, Mainasara Yeldu1, Uko EK1, Erhabor O1, Aghedo F2, Ikhuenbor D2, Hassan M3, Ahmed Y3
Affiliation
- 1Department of Haematology and Blood Transfusion, Faculty of Medical Laboratory Science, Usmanu Danfodiyo University Sokoto, Nigeria
- 2Department of Haematology and Blood Transfusion, Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria
- 3Department of Obstetrics and Gynaecology Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria
Corresponding Author
Erhabor O, Department of Haematology and Blood Transfusion, Faculty of Medical Laboratory Science, Usmanu Danfodiyo University Sokoto, Nigeria, E-mail: n_osaro@yahoo.com
Citation
Erhabor, O., et al. Prevalence of Rhesus C And E Phenotype Among Pregnant Women Attending Antenatal Clinic In Usmanu Danfodiyo University Teaching Hospital, Sokoto. (2016) J Gynecol Neonatal Biol 2(1): 13-16.
Copy rights
© 2016 Erhabor, O. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.
Keywords
Abstract
Rhesus (Rh) antigen was discovered in 1940 by Karl Landsteiner and Wiener. In later years, because of its immunogenicity along with ABO antigens, Rh D antigen testing was made mandatory before issuing a compatible blood. Presently there are five major Rh antigens (D, C, E, c and e) in the Rh blood group system. The aim is this study is to determine the prevalence of Rh c and e phenotype among pregnant women attending antenatal clinic (ANC) in Usmanu Danfodiyo University Teaching Hospital Sokoto. The prevalence and distribution of Rh c and e phenotype was determined among 200 consecutively recruited pregnant women aged 18-45 years and mean age 27.19 ± 4.72 years. Samples were tested for Rh c and e phenotype using the conventional tube agglutination method using Lorne Laboratories (UK) anti c and e antisera. Out of 200 samples studied, the prevalence of Rh c was 92% while Rh e was 98.5%. We observed a statistically significant ethnic variation in the distribution of Rh c and e antigens among the pregnant subjects (p = 0.05 and 0.02) respectively. The prevalence of Rhesus c and e antigens was significantly higher among the Hausa ethnic group compared to the other ethnic groups. A significant number of antenatal attendees were better educated with secondary and tertiary education compared to those with primary and non-formal education. We recommend that all pregnant women in the area be screened for the presence of clinically significant red cell antigens including Rh c and e blood group antigens on their first antenatal visit. There is need to introduce routine alloantibody screening for clinically significant red cell antibodies to facilitate the effective management of anti-c and e related haemolytic disease of the foetus and newborn as well as to prevent haemolytic transfusion reactions. Policy should be developed to facilitate optimum stocking of c and e negative cell in blood bank for emergency use in the area.