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A patient who is in the first trimester of pregnancy has been prescribed a hemoglobin electrophoresis test. What is the purpose of referring the patient for this test?

User Fire
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Final answer:

A hemoglobin electrophoresis test during the first trimester of pregnancy is used to detect hemoglobinopathies that could affect the fetus. The indirect Coombs' test may also be used to screen for antibodies that might lead to hemolytic disease of the newborn. Hemagglutination assays are relevant for ensuring safe blood transfusions by screening for compatible blood types.

Step-by-step explanation:

A patient in the first trimester of pregnancy being prescribed a hemoglobin electrophoresis test is generally a measure to identify hemoglobin variants such as sickle cell anemia, thalassemia, or other hemoglobinopathies. These conditions can affect the oxygen-carrying capacity of blood and may have implications for the fetus. It is important to detect these conditions early in pregnancy to manage potential complications and provide appropriate care for the mother and the developing fetus.

In addition to hemoglobin electrophoresis, other tests like the indirect Coombs' test or antibody screening may be used to detect antibodies against red blood cell antigens that could cause hemolytic disease of the newborn, which is a serious condition where the immune system of the mother attacks the red blood cells of the fetus, leading to anemia and jaundice in the newborn.

The hemagglutination assays are also mentioned as they are used to screen and match blood types for transfusions. It's essential that the transfusion recipient doesn't have antibodies against the antigens of the donated blood to prevent adverse reactions.

User Syed Rafay
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