HDN - 5
•Immunologic testing: continued
•eNeonatal evaluation:
•direct antiglobulin test (DAT)
•blood typing
•‡performed on cord blood
•‡detects antibodies attached to fetal red cells
•‡if positive antibodies are eluted off the red cells and identified and NBIL* is ordered
•*NBIL = neonatal bilirubin test measures unconjugated bilirubin
•‡blood type of newborn is performed using forward typing only (no anti-A or anti-B formed yet to perform reverse typing)
•‡if mom is O type and newborn is A, B, or AB it alerts the physician to possible ABO HDN and bilirubin can be monitored