A protein named as rhesus antigen, is present on the surface of red blood corpuscles. Persons having this rhesus antigen (Rh factor) are called Rh positive
(Rh+). Others who do not have this factor are known as Rh negative
(Rh−). Both
Rh+ and
Rh− individuals are phenotypically normal. The problem arises during blood transfusion and pregnancy.
The first blood transfusion of
Rh+ blood to the person with
Rh− blood causes no harm because the
Rh− person develops anti Rh factors or antibodies in his\/her blood. In second blood transfusion of
Rh+ blood to the
Rh− person, the latter's anti Rh factors attack and destroy the red blood corpuscles of the donor. If father's blood is
Rh+, mother's blood is
Rh− and foetus' blood is
Rh+. Then in second pregnancy (with
Rh+ foetus), the anti Rh factors of the mother's blood destroy the fetal red blood corpuscles.