Blood Types 101: An Introduction to ABO Blood Types and the Rh System

If both of my parents have O positive blood, is it possible for me to have O negative blood?
Debbie

Blood Types 101: An Introduction to ABO Blood Types and the Rh System

Dr. Greene’s Answer:

Genetics can be so confusing! I can see how the issue may appear murky. Because blood tests are common many people have questions about the genetic information found in the ABO blood group and Rh system.

The modern science of genetics had its start in 1866 when an Austrian monk named Gregor Mendel provided a simple yet powerful description of how traits are passed on from one generation to another. Mendel’s work was unappreciated until 1900, more than fifteen years after his death. In his initial formulation, he described how sexual beings get two genes for each trait, one from each parent. The trait expressed, or visible, is a result of the interplay between these two genes. Specifically, he recognized that some genes are dominant and some are recessive. If you have one copy of a dominant gene you will express that trait, regardless of the other gene. In order to express a recessive trait you must have two recessive genes.

Mendel’s first experiments, though simple, were quite profound. He worked with peas, which had easily distinguishable traits, such as green versus yellow seeds. Each pea has two seed-color genes, one from each parent. The peas with two yellow genes were yellow. Those with a yellow and a green gene were also yellow; only those with two green genes turned out to be to green. Thus yellow was dominant over the recessive green gene.

The situation with human blood genetics is far more complex because at each point there are multiple possible characteristics. Nevertheless, the genetics of human blood is far better understood than that of any other human tissue.

ABO Blood Types

First let’s look at the ABO blood types. Each person receives an A, a B, or an O gene from each parent. In this system, the A and B genes are co-dominant, and the O gene is recessive. Thus a person whose genetic type is either AA or AO will have blood type A, those with genetic type BB or BO will have blood type B, and only those with genetic type OO will have blood type O. This means that a child with type O blood could have parents with type A, type B, or type O blood (but not with type AB). Conversely, if two parents both have type O blood, all their children will have type O blood.

Rh System

Another medically important blood type is described in the Rh system. These genes were first discovered in the rhesus monkey, hence the designation Rh. The Rh system is actually far more complex than the ABO system in that there are 35 different possibilities that one could inherit from each parent. These, however, are roughly grouped into positive and negative types. In this system the positive are dominant over the negative. Thus if your genetic type is ++ or +-, your blood type will be Rh positive. Only if your genetic type is — will you be Rh negative. This means that if both parents have Rh+ blood with the +- genes, they could have children who are ++, +-, or –. In other words, their children could be either Rh positive or Rh negative. Children who are Rh negative can have parents who are either Rh positive or Rh negative.

This is why two parents who have O positive blood could easily have a child who is O negative. In fact, most children who are O negative have parents who are positive, since the +- combination is so much more common than the — combination.

Non-ABO, Non-Rh Systems

As it turns out, there are more than a dozen complete blood group systems other than the ABO system and the Rh system. This enables us to look at inheritance and family trees with greater precision.

Specific tests are available (through blood banks) to determine whether someone is a child’s parent.

Unless such testing indicates otherwise, there is no reason, based on your blood type, to be concerned that your parents might not really be your parents.

Dr. Alan Greene

Dr. Greene is the founder of DrGreene.com (cited by the AMA as “the pioneer physician Web site”), a practicing pediatrician, father of four, & author of Raising Baby Green & Feeding Baby Green. He appears frequently in the media including such venues as the The New York Times, the TODAY Show, Good Morning America, & the Dr. Oz Show.

  1. Sabrina

    I am rh negative and my partner is a what blood group would my children be. Its impossible to find out my children’s blood group,tried everywhere. I am from Ireland

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    • There is some information missing from your comment. What is your complete blood type? What is your partner’s full blood type?

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  2. anewlife4us

    My parents were both 0 Negative, but my Mothers Parents – one was 0 Negative, the other was 0 Positive. My Mother is 0 Negative, but both her sister and brother are 0 Positive. My brother and my sister are both 0 Negative, but I was never tested, it was just assumed that I was 0 Negative. Could I be something different?

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  3. JM de Guzman

    Is it possible that both parents have B+ blood type and the daughter will be AB? How possible is that or is it really impossible?

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  4. debbie

    If both my parents are O positive is it possible for me to have Rh O negative blood.

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    • Yes, it is possible. There is only a 6.25% chance, but that means that out of every 400 children born to two O+ parents 25 of them will have O- blood type.

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  5. Deeann

    My daughter just found out that she is B+. My husband, who just past and i have A+ blood. Can this happen? i am a little worried.

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  6. Namrata

    Dear Dr,

    My Blood Group Is A+ and My Husband blood group is O- Please let us know which blood group our children will have? Also please let us know is there a chance of pregnancy.

    Thanks & Regards,

    Namratha Ranya

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  7. Fiona

    If both of my parents are O+, how is it possible to have B+ blood typing. To my limited understandings of basic biology It’s not possible?
    Thanks for your help!

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  8. carol

    My mother was 0 negative, her only sibling was AB negative. Their parents were first cousins, the mother of my mother and the mother of her husband were sisters. I’m trying to figure out what my grandparents blood type has to have been. Is the AB blood only received if one of the parents is AB? Or could one parent be A0 +/- and the other be BB or BA or BO +/- ? Do both of the grandparents have to have an 0 in their blood to produce an 0 negative child?

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  9. Anup Solanki

    If both of my parents are o positive blood, is it possible for to me have B negative blood?
    Please give me your valuable answer..

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