Antibody Tests (Coombs Test)

Coombs' Test, Indirect Coombs' Test

Why It Is Done

Direct Coombs test

The direct Coombs test finds antibodies attached to your red blood cells. The antibodies may be those your body made because of disease or those you get in a blood transfusion.

The direct Coombs test also may be done on a newborn baby with Rh-positive blood whose mother has Rh-negative blood. The test shows whether the mother has made antibodies and if the antibodies have moved through the placenta to her baby.

Indirect Coombs test

The indirect Coombs test finds certain antibodies that are in the liquid part of your blood (serum). These antibodies can attack red blood cells but are not attached to your red blood cells. The indirect Coombs test is commonly done to find antibodies in a recipient's or donor's blood before a transfusion.

A test to determine whether a woman has Rh-positive or Rh-negative blood (Rh antibody titer) is done early in pregnancy. If she is Rh-negative, steps can be taken to protect the baby.


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Author: Maria G. Essig, MS, ELS Last Updated: June 12, 2008
Medical Review: Anne C. Poinier, MD - Internal Medicine
W. David Colby IV, MSc, MD, FRCPC - Infectious Disease

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Topic Contents
 Test Overview
Arrow PointerWhy It Is Done
 How To Prepare
 How It Is Done
 How It Feels
 Risks
 Results
 What Affects the Test
 What To Think About
 References
 Credits