title: Hemolytic disease of the newborn following maternal self-injection of blood.
abstract: A teenage primigravida with no prior history of transfusion presented with anti-D, anti-C, and anti-E in her serum and subsequently developed anti-Fya. The infant had hemolytic disease of the newborn. The antibodies were provoked by the girl's self-injection of her partner's blood for emotional gratification. Clinicians and transfusion services should be aware that hemolytic disease of the newborn in a first pregnancy can be caused by self-inflicted maternal immunization. Close communication between clinicians and transfusion service is emphasized.
mesh_terms: D000293:Adolescent; D001803:Blood Transfusion; D004899:Erythroblastosis, Fetal / Q000209:etiology*; D005260:Female; D006801:Humans; D008273:Magic; D011247:Pregnancy; D012648:Self Care; D065227:Transfusion Reaction