ABO blood group system gives type O. As both "I" and "I" are dominant over "i", only "ii" people have type O blood. Individuals with "II" or "Ii" have type A blood, and individuals with "II" or "Ii" have type B. "II" people have both phenotypes, because A and B express a special dominance relationship: codominance, which means that type A and B parents can have an AB child. A couple with type A and type B can also have a type O child if they are both heterozygous ("Ii","Ii"). The "cis-AB" phenotype has a single enzyme that creates both A and B antigens.
Blood transfusion by using blood type testing to identify a less scarce alternative. Jehovah's Witnesses object to blood transfusions due to their belief that blood is sacred. Although there are clinical situations where transfusion with red blood cells is the only clinically appropriate option, clinicians look at whether alternatives as feasible. This can be due to several reasons, such as patient safety, economic burden or scarcity of blood. Guidelines recommend blood transfusions should be reserved for patients with or at risk of cardiovascular instability due to the degree of their anaemia. In these cases parenteral iron is recommended. Thus far, there are