Analysis of anti-A (B) IgG antibody titer in 3 463 pregnant women with blood type O / 临床检验杂志

ABSTRACT

Objective To investigate the threshold of IgG anti-A (B) antibody with microcolumn gel method and analyze the correlations between the incidence of neonatal hemolytic disease and IgG antibody titer in pregnant women as well as their age for the guidance of prenatal early prevention.Methods Based on blood type of 3 463 perinatal pregnant women and their husbands,the titers of prenatal antibody IgG against A and B were determined by both microcolumn gel and test tube method.The 1 620 pregnant women with blood type O were divided into three groups according to different pregnancy times (1,2,3 or more than 3 times).The titers of serum IgG anti A and B were determined every 4 weeks from the 22th week using micro column gel method.The newborn hemolytic disease-related indicators were detected simultaneously.Results In this laboratory,256 of the antibody titer by microcolumn gel method was used as the indoor reference value.The geometric average titer of IgG anti-A was 169 in 2 257 person-times of perinatal women,and the titer of IgG anti-B was 143 in 1 711 person-times of perinatal women.The 1 620 women with blood type O were continuous monitored at different pregnant times.In 896 women with first pregnancy,260 cases (29.02％)showed 256 or more than 256 of IgG anti A (B)antibody titer,107 cases (43.15％) in 248 women with the second pregnancy showed 256 or more of IgG anti A (B) antibody titer,and 220 cases (46.70％) in 476 women with the third pregnancy or more showed 256 or more of IgG anti A (B) antibody titer.The average ages of the pregnant women with increased 1,2 and 3 antibody titers were 26.4,27.8 and 29.9 respectively,and the incidences of hemolytic disease of newborn (HDN) were 21.66％,40.94％ and 84.90％ respectively.Conclusion In detecting IgG antibody in prenatal serum of pregnant women with O type,the sensitivity of microcolumn gel method for IgG antibody should be obviously higher than that of the traditional test tube method.The reference value of microcolumn gel method or IgG antibody titer was obviously higher than that of test tube method.The positive rate of IgG anti-A antibody in multiple pregnancies was significantly higher than that in the first pregnancy.The incidence of HDN may increase with the age of pregnant women when the titer of IgG antibody increased by 2 or more titers.