A child can indeed have a blood type different from both parents, a phenomenon explained by the intricate nature of genetic inheritance. Blood type is determined by genes passed down from biological parents. The combination of these genes from each parent dictates the specific blood group a child will possess, leading to various possible outcomes.
How ABO Blood Types Are Inherited
The ABO blood group system classifies blood into four main types: A, B, AB, and O, based on the presence or absence of specific antigens on red blood cells. This system is governed by a gene on chromosome 9, which has three possible alleles: A, B, and O. Each parent contributes one allele to their child, forming a pair.
Alleles A and B are co-dominant, meaning if both are inherited, both antigens are expressed, resulting in AB blood type. Both A and B alleles are dominant over the O allele, which is recessive. An individual must inherit two O alleles, one from each parent, to have type O blood. The recessive nature of the O allele allows for scenarios where a child’s blood type can differ from both parents.
For example, if one parent has type A blood with an AO genotype and the other has type B blood with a BO genotype, they can have a child with type O blood (OO genotype). This child’s O blood type is distinct from both parents. Another instance involves a parent with type AB blood and a parent with type O blood; their child could inherit A from one parent and O from the other, resulting in type A blood, or B from one and O from the other, resulting in type B blood. These children would have a blood type different from both parents.
The Role of the Rh Factor
Beyond the ABO system, the Rh factor further categorizes blood as either Rh-positive (Rh+) or Rh-negative (Rh-). This factor is determined by a separate gene on chromosome 1, distinct from the ABO gene. The presence of the Rh protein, specifically the D antigen, makes an individual Rh-positive, while its absence results in Rh-negative status.
Inheritance of the Rh factor follows a dominant-recessive pattern, where the allele for Rh-positive (D) is dominant over the allele for Rh-negative (d). Individuals with at least one D allele (DD or Dd) will be Rh-positive, whereas only those with two d alleles (dd genotype) will be Rh-negative. This inheritance pattern means a child can be Rh-positive even if one parent is Rh-negative, provided the Rh-negative parent contributes a d allele and the Rh-positive parent contributes a D allele.
For example, an Rh-negative mother (dd genotype) and an Rh-positive father (Dd or DD genotype) could have a child who inherits a D allele from the father and a d allele from the mother, making the child Rh-positive (Dd genotype). This child’s Rh status would differ from the Rh-negative parent. Rh factor compatibility is routinely checked during pregnancy due to potential medical implications if an Rh-negative mother carries an Rh-positive fetus. The mother’s immune system might produce antibodies against the fetal Rh-positive blood, which can be managed with treatments like Rh immunoglobulin to prevent complications in future pregnancies.
Interpreting Blood Type Differences
The genetic mechanisms of blood type inheritance clearly demonstrate that a child’s blood type can differ from both parents. This outcome is a predictable result of how alleles combine and express dominance or co-dominance. Therefore, observing a blood type difference between a child and their parents does not suggest non-paternity; instead, it aligns with established genetic principles.
Understanding these inheritance patterns is important for medical reasons. Blood typing is fundamental for safe blood transfusions, ensuring compatibility between donor and recipient. It is also a standard procedure in pregnancy management, particularly concerning Rh factor compatibility, to prevent health issues for both mother and child.

