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Two Rh+ parents,
an Rh− child?

Rh− is common in some families and almost unheard of in others. Like ABO, the Rh factor you see on a card can hide a gene you can pass on.

NFM Apps guide · 2026-10-03

The basic rule

Rh+ and Rh− usually refer to whether the RhD antigen is present. For teaching, it is described as one gene where D (present) is dominant over d (absent).

GenotypeBlood type
DDRh+
DdRh+ (a carrier of Rh−)
ddRh−

If both parents are Dd, each child has a 1 in 4 chance of being dd. So an Rh− child from two Rh+ parents is fully consistent with the rule.

Why frequency differs by population

Rh− is far more common among people of European descent than in East Asia. In Korea, for example, only about 0.1 to 0.3% of people are Rh−. Where the d allele is rare, an Rh+ parent is less likely to be a carrier, and two carriers having children together is rarer still.

Results by combination

ParentsPossible child Rh
Rh− × Rh−Rh−
Rh+ × Rh−Rh+ or Rh− (Rh− only if the Rh+ parent is Dd)
Rh+ × Rh+Mostly Rh+; 1 in 4 Rh− if both are Dd

Real RhD typing also has variants such as weak D and partial D that can make results unclear. Those details belong to a medical lab.

An Rh-negative pregnancy is something obstetric care checks and manages separately. Neither this guide nor the app is a tool for that; if you are pregnant, follow your care team’s advice.

Check it in the app

The Android app Genetic Kids Lab treats Rh as a simple dominant/recessive trait and estimates whether an Rh+ parent is a carrier from a population frequency. That frequency is a simplified teaching value, so the app shows Rh− children more often than a low-Rh− population would. Use it to see where the 1 in 4 comes from.

Virtual child card: Boy, 177 cm, with a list of traits including blood type A Rh+ and eye color hazel
Child card
1

Draw one child and read the card

Tap Draw one child to get a random virtual child. The Blood type (ABO) line shows ABO and Rh together, such as “A Rh+.”

Genetics class tab with a Punnett square grid E and e, Double 75% Single 25%, and the 3-generation pedigree below
Punnett square
2

Rh in the Punnett square

In the Genetics class tab, switch the Punnett square trait to Rh factor to see the Dd × Dd grid and its 3:1 ratio. Here a parent with the dominant type is assumed to be a carrier.

For learning and fun only. This guide and the app use simplified models to explain genetics concepts. They do not predict or guarantee any real child’s traits and are not a substitute for medical advice or genetic counseling. If you have concerns about health or inherited conditions, talk to a qualified professional.

FAQ

Is Rh inherited separately from ABO?

Yes. ABO and RhD are different genes and are inherited independently, which is why combinations like A− or O+ exist.

Is it strange for Rh+ parents to have an Rh− child?

No. If both carry a hidden d allele, it is expected. If you doubt a result, ask for a retest.

Genetic Kids Lab - Child Trait Simulator

Pick the parents’ traits and see trait ratios across 1,000 virtual children. An educational, just-for-fun simulator that works offline. Free on Android.

Get it on Google Play