Blood types are inherited traits passed down from parents to their children. Understanding how these genetic characteristics are transmitted offers insights into family traits and biological connections. Blood type inheritance involves specific genes and alleles that determine an individual’s blood group. This article clarifies how parental blood types influence a child’s blood type.
The Basics of Blood Types
Blood types categorize blood based on specific substances called antigens on the surface of red blood cells. These antigens act as markers that the immune system recognizes. The two primary classification systems for human blood are the ABO system and the Rh factor.
The ABO system defines four main blood groups: A, B, AB, and O. Individuals with Type A blood have A antigens, Type B have B antigens, Type AB have both A and B antigens, and Type O have neither A nor B antigens. The Rh factor, a separate protein, determines whether a blood type is positive (+) or negative (-). If the Rh protein is present, the blood is Rh-positive; if absent, it is Rh-negative.
How Blood Type Genes are Inherited
Blood type inheritance follows specific genetic principles. Each parent contributes one allele to their child for each blood group system. For the ABO system, a single gene has three possible alleles: A, B, and O. The A and B alleles are co-dominant, meaning both are expressed if inherited together, resulting in AB blood type. The O allele is recessive, so it is only expressed if two O alleles are inherited.
Each person inherits two alleles for their ABO blood type, one from each parent. For example, a person with Type A blood could have either two A alleles (AA) or one A and one O allele (AO), because A dominates over O. Similarly, a person with Type B blood could have BB or BO alleles. Type AB blood means inheriting one A and one B allele (AB), while Type O blood indicates inheriting two O alleles (OO).
Determining Your ABO Blood Type from Parents
The combination of alleles from both parents dictates the child’s ABO blood type. For instance, if both parents have Type A blood, they could have genotypes AA or AO. If both parents are AO, they could have a child with Type O blood, as each parent can pass on their recessive O allele. If one parent has Type A (genotype AO) and the other has Type B (genotype BO), their child could inherit A, B, AB, or O blood types.
When one parent has Type O blood (OO) and the other has Type AB blood (AB), their children can only be Type A (AO) or Type B (BO). The O parent can only pass an O allele, and the AB parent can pass either an A or a B allele. This highlights that the specific alleles carried by each parent, not just their expressed blood type, determine the possibilities for their offspring.
Determining Your Rh Factor from Parents
The inheritance of the Rh factor involves the RhD antigen. The Rh-positive allele (D) is dominant, and the Rh-negative allele (d) is recessive. If an individual inherits at least one Rh-positive allele from either parent, they will be Rh-positive. To be Rh-negative, a person must inherit two Rh-negative alleles, one from each parent.
Two Rh-positive parents can still have an Rh-negative child if both parents carry the recessive Rh-negative allele. For example, if both parents are heterozygous Rh-positive (Dd), there is a 25% chance their child will be Rh-negative (dd). If both parents are Rh-negative (dd), all their children will be Rh-negative.
Unexpected Blood Types
Sometimes, a child’s blood type may appear to deviate from expected inheritance patterns. Rare scenarios can occur. One instance is the Bombay phenotype, a very rare blood type where individuals lack the H antigen. This antigen is necessary for the expression of A or B antigens, making their blood appear as Type O regardless of their ABO genes.
Genetic mutations, though extremely rare for common blood types, can also lead to unexpected blood types. If a child’s blood type does not align with parental expectations, professional blood testing is the definitive method to determine an individual’s blood type. Genetic counseling can also provide clarity for complex or unusual inheritance patterns.

