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Blood typing mismatch occurs when incompatible blood types are mixed during transfusions, organ transplants, or pregnancy. It is caused by antibodies in the recipient's immune system attacking foreign red blood cell antigens from the donor. The Antibody Screen, RBC with Reflex to Identification, Titer, and Antigen Typing is the most important test for preventing dangerous transfusion reactions.
Blood typing mismatch is caused by incompatible antigens on red blood cells between a donor and recipient. The ABO blood group system and Rh factor are the most critical antigens, but over 300 other blood group antigens exist that can trigger immune reactions. When your immune system encounters foreign blood antigens through transfusion, pregnancy, or organ transplant, it produces antibodies that recognize and attack those unfamiliar antigens, leading to potentially life-threatening hemolysis where red blood cells are destroyed.
The Antibody Screen, RBC with Reflex to Identification, Titer, and Antigen Typing is the most important test for blood typing mismatch because it performs comprehensive antigen typing to determine your exact blood type and screens for unexpected antibodies that could cause transfusion reactions. This test detects antibodies against red blood cell antigens beyond just ABO and Rh groups, identifying hidden incompatibilities from previous transfusions or pregnancies. The reflex component automatically performs detailed antibody identification and measures antibody levels (titers) when screening detects potential problems, providing complete information needed to prevent dangerous reactions during blood transfusions or organ transplants.
You should get tested if you are preparing for any blood transfusion or organ transplant surgery, if you are pregnant or planning pregnancy (especially if you've had previous pregnancies or miscarriages), if you have a history of transfusion reactions, or if you've never had your blood type officially documented in a medical setting. Testing is especially critical if you've had multiple pregnancies, previous blood transfusions, or if you're a woman of childbearing age with Rh-negative blood, as these situations increase the risk of developing antibodies against foreign blood antigens.
What this means
Your antibody screen came back negative, meaning no unexpected antibodies were detected in your blood. This is the expected and healthy result, indicating that you have a lower risk of complications during pregnancy or blood transfusions.
Recommended actions
If pregnant, follow your healthcare provider's recommendations for repeat testing around 28 weeks
Keep a record of your blood type and antibody status for future medical procedures
If Rh-negative and pregnant, discuss Rh immunoglobulin (RhoGAM) with your doctor
Retest if you have another pregnancy or before any planned surgery requiring transfusions
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