Child Blood Group

Blood Group Inheritance Chart (ABO + Rh Factor)

ABO Blood Group Inheritance
Parents’ Blood Groups Possible Child Blood Groups
O + O O only
O + A O, A
O + B O, B
O + AB A, B
A + A O, A
A + B O, A, B, AB
A + AB A, B, AB
B + B O, B
B + AB A, B, AB
AB + AB A, B, AB (not O)

Explanation of Inheritance

ABO system: Blood groups are A, B, AB, or O depending on which antigens are present on red blood cells.

Genes: Each person has two ABO genes (one from each parent). Possible alleles are A, B, O.

  • A + A or A + O → Blood group A
  • B + B or B + O → Blood group B
  • A + B → Blood group AB
  • O + O → Blood group O

Rh Factor Inheritance

The Rh factor in a child’s blood group is determined by genes inherited from the parents, just like the ABO blood group system.

Here’s the breakdown

  1. What is Rh factor?
    • The Rh factor is a protein (the D antigen) present on the surface of red blood cells.
    • If the protein is present → Rh positive (Rh⁺).
    • If the protein is absent → Rh negative (Rh⁻).
  2. Genetics of Rh factor
    • The Rh factor is inherited from both parents.
    • It is controlled mainly by the RHD gene:
      • D (dominant allele) → produces Rh⁺.
      • d (recessive allele) → produces Rh⁻ (absence of the D antigen).
    • Therefore:
      • If a child inherits at least one D allele → child is Rh⁺.
      • If a child inherits two d alleles (dd) → child is Rh⁻.
  3. Possible parental combinations
Parent 1’s Rh Parent 2’s Rh Child’s Rh possibilities
Rh⁺ (DD) Rh⁺ (DD) 100% Rh⁺
Rh⁺ (DD) Rh⁻ (dd) 100% Rh⁺
Rh⁻ (dd) Rh⁺ (DD) 100% Rh⁺
Rh⁺ (Dd) Rh⁻ (dd) 50% Rh⁺, 50% Rh⁻
Rh⁺ (Dd) Rh⁺ (Dd) 75% Rh⁺, 25% Rh⁻
Rh⁻ (dd) Rh⁻ (dd) 100% Rh⁻

In short

  • Rh⁺ is dominant over Rh⁻.
  • A child will be Rh⁻ only if both parents pass the Rh⁻ gene.

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