{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T12:28:36Z","timestamp":1787228916620,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Anti-In\n                    <jats:sup>b<\/jats:sup>\n                    , a rare high-frequency antigen antibody of the Indian blood group system, renders compatible banked blood virtually unavailable. A 34-week gravida 3 para 2 patient with dual alloimmunisation, anti-In\n                    <jats:sup>b<\/jats:sup>\n                    (titre 1:128) and anti-D (titre 1:64), underwent elective caesarean delivery. Antenatal iron supplementation raised haemoglobin from 9.6 g\/dL to 11.2 g\/dL, enabling a preoperative autologous blood donation of 325 mL. The serial middle cerebral artery peak systolic velocity Doppler remained below 1.5 multiples of the median throughout, excluding foetal anaemia. The patient\u2019s brother was identified as the sole compatible allogeneic donor. Subarachnoid block with hyperbaric bupivacaine 9 mg achieved T5 blockade. The estimated blood loss was 900 mL due to uterine atony; stepwise uterotonic therapy was employed, and only the autologous unit was transfused. Maternal recovery was uneventful; the neonate required phototherapy but was discharged well. Antenatal haemoglobin optimisation and preoperative autologous donation are essential strategies when compatible blood is unavailable.\n                  <\/jats:p>","DOI":"10.4103\/ija.ija_747_26","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T12:00:53Z","timestamp":1787227253000},"page":"963-966","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Anti-Inb alloimmunisation in pregnancy: Anaesthetic and perioperative blood management for caesarean delivery - A case report"],"prefix":"10.4103","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0678-9573","authenticated-orcid":false,"given":"Hari H.","family":"Rajangam","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8172-0028","authenticated-orcid":false,"given":"Mekala R.","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2314-6219","authenticated-orcid":false,"given":"Hemachandiran","family":"Radjane","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9534-4436","authenticated-orcid":false,"given":"R","family":"Niteesh","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"key":"R1-20260820","doi-asserted-by":"crossref","first-page":"136","DOI":"10.2478\/immunohematology-2025-020","article-title":"The Indian (IN 023) blood group system: An update","volume":"41","author":"Joshi","year":"2025","journal-title":"Immunohematology"},{"key":"R2-20260820","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1016\/j.transci.2018.03.009","article-title":"Molecular genotyping of Indian blood group system antigens in Indian blood donors","volume":"57","author":"Gogri","year":"2018","journal-title":"Transfus Apher Sci"},{"key":"R3-20260820","doi-asserted-by":"crossref","first-page":"17","DOI":"10.4103\/ajts.AJTS_4_17","article-title":"Prevalence of irregular red cell antibody in healthy blood donors attending a tertiary care hospital in North India","volume":"12","author":"Makroo","year":"2018","journal-title":"Asian J Transfus Sci"},{"key":"R4-20260820","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1111\/anae.14080","article-title":"International consensus statement on the management of hypotension with vasopressors during caesarean section under spinal anaesthesia","volume":"73","author":"Kinsella","year":"2018","journal-title":"Anaesthesia"},{"key":"R5-20260820","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.htct.2020.12.006","article-title":"Role of preoperative erythropoietin in the optimization of preoperative anemia among surgical patients: A systematic review and meta-analysis","volume":"44","author":"Ali","year":"2022","journal-title":"Hematol Transfus Cell Ther"},{"key":"R6-20260820","doi-asserted-by":"crossref","first-page":"335","DOI":"10.14740\/jocmr5227","article-title":"Preoperative autologous blood donation for Rh-negative pregnant women undergoing cesarean sections","volume":"16","author":"Wannoon","year":"2024","journal-title":"J Clin Med Res"},{"key":"R7-20260820","first-page":"125","article-title":"Autologous blood in obstetrics: Where are we going now?","volume":"10","author":"Liumbruno","year":"2012","journal-title":"Blood Transfus"},{"key":"R8-20260820","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1097\/ACO.0000000000001337","article-title":"Current concepts in the use of cell salvage in obstetrics","volume":"37","author":"Neef","year":"2024","journal-title":"Curr Opin Anaesthesiol"},{"key":"R9-20260820","doi-asserted-by":"crossref","first-page":"396","DOI":"10.3390\/medicina59020396","article-title":"Hemoglobin-based oxygen carriers: Where are we now in 2023?","volume":"59","author":"Chen","year":"2023","journal-title":"Medicina (Kaunas)"},{"key":"R10-20260820","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1002\/uog.1882","article-title":"Middle cerebral artery peak systolic velocity for the diagnosis of foetal anemia: The untold story","volume":"25","author":"Mari","year":"2005","journal-title":"Ultrasound Obstet Gynecol"}],"container-title":["Indian Journal of 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