Bombay phenotype Oh blood group: two case reports. Acute puerperal uterine inversion and term pregnancy in labour

Authors

  • Pratibha Devabhaktuni Department of Obstetrics and Gynaecology, Modern Government Maternity Hospital, Osmania Medical College, Hyderabad, Telangana, India
  • Malati Ponnuru Department of Obstetrics and Gynaecology, Modern Government Maternity Hospital, Osmania Medical College, Hyderabad, Telangana, India
  • Vijaya Reddy Kalattoor Department of Obstetrics and Gynaecology, Modern Government Maternity Hospital, Osmania Medical College, Hyderabad, Telangana, India
  • Nirupama Palakodeti Department of Obstetrics and Gynaecology, Modern Government Maternity Hospital, Osmania Medical College, Hyderabad, Telangana, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20212684

Keywords:

Bombay phenotype, Oh blood, Uterine inversion, PPH

Abstract

Mrs. A, 30 years, para 3 with three live children was an unbooked emergency admission on 6 April 2007 with history of severe postpartum haemorrhage (PPH). She was in a state of shock with hypotension, tachycardia, pallor due to anaemia. Examination revealed the uterine inversion, uterus visible as a fleshy red mass protruded outside the vaginal introitus. Puerperal uterine inversion was reduced by vaginal manual reposition under observation through a mini laparotomy incision. She was transfused 4 units of O positive blood. On the second postoperative day she had signs and symptoms of a haemolytic transfusion reaction (HTR). She developed jaundice, haematuria and worsening anaemia. She was later detected to be Bombay Oh phenotype. Total 6 units of Bombay phenotype blood was transfused in a couple of days. Case 2: Mrs. R, 22 years primigravida, term gestation was admitted in labour in government maternity hospital/Osmania medical college, Hyderabad on 26 July 2007. A resident from Mahaboob Nagar district of Andhra Pradesh, unbooked emergency admission in labour, had severe anaemia with 4 gms Hb%. Her blood group was diagnosed as Bombay phenotype. She was given a vaginal delivery and transfused with compatible Oh Bombay blood obtained from Red Cross, Warangal, Andhra Pradesh.

Author Biography

Pratibha Devabhaktuni, Department of Obstetrics and Gynaecology, Modern Government Maternity Hospital, Osmania Medical College, Hyderabad, Telangana, India

former Professor of Obstetrics and Gynaecology

Department of Obstetrics and Gynaecology

Osmania Medical College

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Published

2021-06-28

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Case Reports