tlorme Posted April 11, 2011 Share Posted April 11, 2011 Can anyone tell me if they routinely perform an elution on a cord blood when you know the mom's plasma contains anti-D due to RhIg and/or there is an ABO incompatibility between mom & baby (ie: mom's group O and baby's group A)? Link to comment Share on other sites More sharing options...
PaulSunV Posted April 11, 2011 Share Posted April 11, 2011 We do not do an elution when the positive DAT is likely to be ABO related (O mother has an A or B baby) or due to RhiG. The treatment in those cases is the same the doctor only has to monitor the bilirubin to determine if more time under the light is needed. Link to comment Share on other sites More sharing options...
adiescast Posted April 11, 2011 Share Posted April 11, 2011 We do the same as PaulSunV. Link to comment Share on other sites More sharing options...
David Saikin Posted April 11, 2011 Share Posted April 11, 2011 My pedi Docs like to have elutions done . . . so we do them. Link to comment Share on other sites More sharing options...
CarolS Posted April 11, 2011 Share Posted April 11, 2011 We have always done eluates on newborns with positive DATs.... a freeze-thaw when we suspect an ABO antibody, and an acid eluate when we suspect anything else. We are also looking to discontinue them. Thoughts?? Link to comment Share on other sites More sharing options...
Townsend Posted April 12, 2011 Share Posted April 12, 2011 We do acid elutions on all inpatient positive neonatal DATs (<4 months old). For outpatients, we just add a canned comment that says to contact the TS if further testing is desired.A lot of adult hospitals don't do them if it looks like ABO ab or if the maternal ab is already known. We are a children's hospital (not a delivery hospital), so we don't always get the maternal ab information and don't like to "trust" the information provided by another TS or physician. Link to comment Share on other sites More sharing options...
jill Posted April 12, 2011 Share Posted April 12, 2011 We do not do an elution for either situation. Link to comment Share on other sites More sharing options...
tlorme Posted April 13, 2011 Author Share Posted April 13, 2011 Thank you all for your responses. Link to comment Share on other sites More sharing options...
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