Human blood can be classified into different groups based on surface antigens present on erythrocytes and the accompanying antibodies in plasma. The ABO blood group system classifies blood into four types: A, B, AB, and O, determined by the presence of A and B antigens. Individuals with Type A blood have A antigens and anti-B antibodies; Type B has B antigens and anti-A antibodies; Type AB has both A and B antigens and no antibodies, making AB individuals universal recipients; Type O has no antigens on the surface and has both anti-A and anti-B antibodies, providing them the capability to donate to any other group, rendering Type O as universal donors.
The Rh system identifies the Rh antigen, which most humans possess (Rh positive) while some do not (Rh negative). The significance of these groups lies in transfusion compatibility; mismatched transfusions can lead to clumping of RBCs, causing severe health issues. Particularly notable is the condition of erythroblastosis fetalis, which can occur during pregnancy when an Rh-negative mother carries an Rh-positive baby, potentially leading to the mother's immune system attacking the baby's blood cells. Precautions such as administering anti-Rh antibodies can prevent this situation. Overall, an understanding of blood groups is critical for safe medical practices and maternal-fetal health.