Can O and A Blood Type Parents Have a Child with B Blood Type? - Obstetrics and Gynecology

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Questions about blood types?


Hello, doctor: Can you tell me what blood types the children of an O type and an A type couple might have? Is it possible for them to have a child with B type blood?

Meimei, 20~29 year old female. Ask Date: 2007/10/08

Dr. Yang Wangjun reply Obstetrics and Gynecology


Hello: The ABO blood group system is characterized by the presence of A antigen (type A), B antigen (type B), both antigens (type AB), or the absence of both antigens (type O) on the red blood cell membrane.
The genes responsible for producing A or B antigens are inherited in a dominant manner.
If one of the two homologous chromosomes inherited from the parents carries the gene that produces A antigen (for example, in type A), the phenotype will express A antigen (i.e., type A).
The same applies to type B.
Therefore, an individual with phenotype A can have a genotype of AA, AO, or OA (where the O allele does not produce A or B antigens).
An individual with phenotype B can have a genotype of BB, BO, or OB.
An individual with phenotype AB can have a genotype of AB (AB AB), AB O, O AB, A B, or B A.
An individual with phenotype O can only have the genotype OO, meaning that all gametes (sperm or egg) produced by type O individuals will have the O genotype.
Type A individuals can produce gametes with genotypes of AA, AO, or O.
If a type A individual has the genotype AA and mates with a type O individual, the offspring will necessarily be type A (AO).
If a type A individual has the genotype AO and mates with a type O individual, the offspring could be either type A (AO) or type O (OO), but it is impossible for them to have a type B child.

Reply Date: 2007/10/08

More Info


When considering the blood types of parents and the potential blood types of their children, it's essential to understand the basic principles of genetics, particularly the ABO blood group system. In this system, there are four primary blood types: A, B, AB, and O. The blood type is determined by the presence or absence of antigens on the surface of red blood cells, specifically A and B antigens.

In your case, one parent has blood type O and the other has blood type A. Blood type O is characterized by the absence of both A and B antigens, while blood type A can be either homozygous (AA) or heterozygous (AO). This means that the A parent can pass on either an A allele or an O allele to their child.

To analyze the possible blood types of the children from these parents, we can use a simple Punnett square. Here are the possible combinations:
1. If the A parent is homozygous (AA):
- Possible combinations with O parent (OO):
- Child's genotype: AO (Blood type A)
- Child's genotype: OO (Blood type O)
2. If the A parent is heterozygous (AO):
- Possible combinations with O parent (OO):
- Child's genotype: AO (Blood type A)
- Child's genotype: OO (Blood type O)
From this analysis, we can conclude that the children of an O type parent and an A type parent can only have blood types A or O. There is no possibility for them to have blood type B.
Blood type B can only occur if at least one parent contributes a B allele. Since the O type parent does not carry any A or B alleles, and the A type parent can only contribute an A or O allele, the offspring cannot inherit a B allele from either parent.

In summary, if one parent is blood type O and the other is blood type A, the possible blood types of their children are A or O. There is no genetic pathway for these parents to produce a child with blood type B. If there are concerns about the blood types of the parents or the child, it is advisable to conduct a blood type test to confirm the results.

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