pbaker Posted May 12, 2011 Share Posted May 12, 2011 On which babies do you perform cord blood testing?All babiesBabies of Rh neg moms onlyBabies of group O and/or Rh neg moms Link to comment Share on other sites More sharing options...
Deny Morlino Posted May 12, 2011 Share Posted May 12, 2011 We perform cord testing on about 99% of babies. Not sure of the reason for this, other than to keep things simple for nursing and the docs. Have not tackled this issue yet. Link to comment Share on other sites More sharing options...
CM2 Posted May 12, 2011 Share Posted May 12, 2011 We perform testing on cord blood samples for babies of Rh pos moms. If mom is Rh neg we request a heelstick sample preferentially. One reason for this is that cord bloods often come to us with minimal labeling whereas heelsticks are a little more thorough. Since we are using the testing on the heelstick to dispense rhogam we'd like the extra assurance of correct identity. Cords may also contain Whartons jelly causing false positive reactions if not well washed. Link to comment Share on other sites More sharing options...
David Saikin Posted May 13, 2011 Share Posted May 13, 2011 Babies from Rh= moms and also if the bili rises we usually get orders for Type/Coombs'. Link to comment Share on other sites More sharing options...
tbostock Posted May 13, 2011 Share Posted May 13, 2011 Type O moms, Rh Neg moms, and moms with clinically significant alloantibodies. We would also perform it upon request from a pediatrician if there was unexplained bilirubin issues with the baby (could be a low incidence antibody in the mom that wouldn't be detected in the antibody screen). Link to comment Share on other sites More sharing options...
mmckee Posted May 13, 2011 Share Posted May 13, 2011 We only do Rh on babies born to Rh negative mothers. Link to comment Share on other sites More sharing options...
bloodbankninja Posted May 20, 2011 Share Posted May 20, 2011 We do all of them. Every baby gets an ABO and Rh type and a DAT. Link to comment Share on other sites More sharing options...
galvania Posted May 20, 2011 Share Posted May 20, 2011 What is the point in doing a DAT on a perfectly healthy baby? So you get a positive - maybe because of ABO or the mum had received anti-D shortly before giving birth. No clinical importance, but enough to scare mum to death!!! Link to comment Share on other sites More sharing options...
bloodbankninja Posted May 20, 2011 Share Posted May 20, 2011 I don't know.. it's just our policy. I think if the DAT is positive then they check the bilirubin.Once we had an O pos mom with negative antibody screen, with an O pos baby with a positive DAT. Link to comment Share on other sites More sharing options...
Byfaith Posted May 20, 2011 Share Posted May 20, 2011 Type O moms, Rh Neg moms, and moms with clinically significant alloantibodies. We would also perform it upon request from a pediatrician if there was unexplained bilirubin issues with the baby (could be a low incidence antibody in the mom that wouldn't be detected in the antibody screen).Exactly what we do here. As for labeling issues mentioned in another post, nursing labels the samples with pre-printed labels with Moms info, handwriting "Baby of" and/or "Cord Blood" on these labels. Seems to work well for us. Link to comment Share on other sites More sharing options...
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