CHILDREN IN womb have a new problem. It’s the Hemolytic disease. This is a disease that develops in the foetus if the mother’s RH factor is negative and father’s positive.
The Sanjay Gandhi Post Graduate Institute of Medical Sciences has started working in this
direction and has developed diagnosis and treatment of such foetus.
Giving this information at the CME organised by the department of Transfusion Medicine associate professor Prashant Agrawal said that such foetus could fall victim to several diseases just after birth.
“Researches have shown that if the RH factor in parents are reverse, the child can suffer a lot. However, if such a foetus is examined through tests it can be saved from developing diseases,” said Agrawal.
He said there are two tests viz. Combo’s test and Antibody Titration test to detect problem with the foetus.
“In most of the cases it’s the mother that produces antibodies for the foetus and diseases like jaundice and anaemia create problem for the child’s growth,” Agrawal said.
Delivering his lecture on the status of blood transfusion in the world Dr JG Jolly, the man who established Transfusion Medicine Department in SGPGIMS expressed concern over the wide gap between supply and demand of blood.
He said steps have to be initiated for managing future crisis of blood.
“It’s divide and rule policy that can contribute to lessen the wide gap between the demand and supply of blood in the country. Using different components of blood separately is a perfect tool to be implemented now,” Dr Jolly, pioneer in transfusion medicine said.
The country, he said, requires 10 million units of blood and available quantity of quality blood is 5.5 million units. More so there are only 75 centres in India that have facilities to separate components from the blood.
“The shortage of 4.5 million units of blood provokes corruption like selling of blood and thereby increases the chance for spread of diseases that are spread through transfer blood,” Dr Jolly said.
Situation of blood transfusion is horrible in some of the states like Orissa, Bihar, Uttar Pradesh and North Eastern region. Dr Jolly, who was a member of the committee formed by Supreme Court in 1995-96 to study condition blood transfer in the country.
“The country needs a new blood transfusion policy to ensure commercial blood remains out of the scene. This can only become possible if a strict policy is implemented,” he said.
There is a need to start MD Transfusion Medicine course at medical institutes in the country.
The SGPGIMS has started and is the first one to do so but more institutes are required to start the course. Also training to the lab technicians should be provided to make the process of blood transfusion secured and ensure best possible use of the available stock.
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