Title: Indirect Coombs Test positive does not always mean Rh positive blood antigen: An Unusual Case Report

We report an unusual case of Rh negative baby born to Rh positive father and Rh negative mother with severely high titres (1:256) on ICT despite the absence of any prior exposure.Throughout the gestation period, MCA fetal doppler findings were normal non suggestive of any complications in the fetus.