Malinda is pregnant with her third child. Her husband wants a big family even though his employment history and future has been shaky during these tough economic times. The family has traveled from state to state, in search of employment, taking a variety of temporary jobs. Naturally their healthcare has been inconsistent and irregular. Malinda actually delivered the first two babies at home and has had very little prenatal care during this pregnancy due to the mobile family situation.
Malinda has just been admitted through the Emergency Room in labor and she is only in the 30th week of gestation. She was brought to the emergency room by a neighbor who has taken her two other children back home to watch them. A rapid type and screen test is done which reveals Malinda is blood group O and Rh negative. The husbandâ€™s blood type is unknown and the emergency room is having trouble contacting him on his new job. An amniocentesis is conducted and the bilirubin is reported as 5.2 mg/dl resulting in an emergency C section due to fetal distress. Upon delivery the baby demonstrates fetal anemia with hemoglobin of 7.9 mg/dl, hematocrit of 25 and 12% reticulocytosis. The babyâ€™s blood type is O Rh positive with a 4+ antiglobulin test.
Determine a differential diagnosis.

Create a report that:
1. Determines the cause of the symptoms and the classification of this reaction.
2. Describes the antigen and immunologic reactions.
3. Describes the typical treatment and prevention.
4. Describes the incidence of this particular type of reaction or infection. (Statistics help).
5. Describes any potential complications with this condition.
6. Flow charts the immune response occurring in the baby. (This need not be done on the computer; it can be drawn by hand.)

Malinda is pregnant with her third child. Her husband wants a big f...