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Is O-negative safe in pregnancy with an O-positive partner?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a female with an O-negative blood group, and my partner is O-positive. I would like to know if I can have a safe pregnancy and whether there could be any complications.

Additionally, if I were to have twins, would it still be considered a healthy pregnancy?

Kindly assist.

Thank you.

Answered by Dr. Chibitam Hope Obia

Education:

MBBS

Professional Bio:

Dr. Chibitam Hope Obia is a dedicated General Practitioner and Family Physician with expertise in managing a wide range of acute and chronic conditions. He has a strong interest in mental health and has pursued advanced training in the field. Dr. Obia is known for his patient-centered approach, clinical efficiency, and commitment to holistic care for individuals and families.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I am very sorry about your medical condition, and I am glad that you are paying attention to changes in your body. Do not worry. I am here to take care of you. I am really glad you asked this question. It is an important and very responsible one. Since you are O-negative and your partner is O-positive, there is something called Rh incompatibility that might occur during pregnancy.

Here is a simple breakdown: Your blood type is O (the "O" refers to your ABO blood group), and you are Rh-negative (meaning you do not have the Rhesus factor protein on your red blood cells). Your partner is Rh-positive, so there is a possibility that your baby or babies, if you have twins, could inherit the Rh-positive factor from him.

If an Rh-negative mother carries an Rh-positive baby, her immune system can sometimes recognize the baby’s blood as "foreign" and start producing antibodies against it. However, there is good news: modern medicine manages this situation very effectively.

Around 28 weeks of pregnancy (and sometimes again after delivery), you would typically receive an injection called Rhogam (generic name: anti-D immunoglobulin). This injection prevents your immune system from developing antibodies that could harm the baby or future pregnancies.

I hope this helps.

Thank you.

Medically reviewed by iCliniq medical review team
Published At June 29, 2025
Reviewed At April 27, 2026

Education:

MBBS

Professional Bio:

Dr. Chibitam Hope Obia is a dedicated General Practitioner and Family Physician with expertise in managing a wide range of acute and chronic conditions. He has a strong interest in mental health and has pursued advanced training in the field. Dr. Obia is known for his patient-centered approach, clinical efficiency, and commitment to holistic care for individuals and families.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Chibitam Hope Obia is a dedicated General Practitioner and Family Physician with expertise in managing a wide range of acute and chronic conditions. He has a strong interest in mental health and has pursued advanced training in the field. Dr. Obia is known for his patient-centered approach, clinical efficiency, and commitment to holistic care for individuals and families.

This doctor is not available for online consultations on the platform anymore.

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