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To assess whether placental or maternal immunization against common human blood group antigens affects pregnancy outcome. Maternal immunization against D and Cw antigens during pregnancy in women who subsequently develop hemolytic disease of the newborn (HDN) was compared with pregnancies in women who were immunized and did not develop HDN, pregnancies in women who were immunized and did not develop HDN, and pregnancies in women who were immunized and did develop HDN. To study the influence of placental immunization, blood samples from the mothers and their neonates were tested after delivery. The percentage of affected neonates was 31.8% (5 of 16) in the HDN group, 20% (2 of 10) in the non-HDN group (P =.07), 25% (3 of 12) in the non-HDN, Cw antigen group, and 12.3% (4 of 33) in the non-HDN, D antigen group (P =.003). The prevalence of HDN increased with the number of affected siblings in the family. These data demonstrate that the presence of maternal blood group antibodies against the D and Cw antigens in the mother affected neonatal outcome when a pregnancy was complicated by HDN. This effect was not due to fetomaternal transfusion of red cells because blood samples from the mothers and their affected infants were found to be negative for the D and Cw antigens. These data suggest that immunologic factors in the placental fetal environment contribute to the generation of fetomaternal incompatibility in the third trimester.This invention relates to a drive rod or drive pin assembly for imparting reciprocating movement to a tubular rack element mounted on a rotor shaft of a motor.
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