NICKJM Posted January 29, 2016 Share Posted January 29, 2016 (edited) Trying to cut to the chase and canvas the forum for the current AABB recommendation regarding routine cord blood testing (ABO/Rh and DAT) at delivery. At my current facility I am getting all cord bloods. My approach is propose routine testing only on group O and Rh-negative mothers. Need feedback. Thanks. Edited January 29, 2016 by NICKJM Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted January 29, 2016 Share Posted January 29, 2016 I must admit, from the point of view of a UK member of this wonderful site (so NOT governed by AABB recommendations) a DAT on each and every cord blood is complete overkill. tricore 1 Link to comment Share on other sites More sharing options...
amym1586 Posted January 29, 2016 Share Posted January 29, 2016 That's what we do. Cord bloods on O and Rh negative mothers. Or if the mother has and antibody. We don't even do elutions here. Just report the Mom is O and the baby is A with a positive DAT ..for example. Dansket 1 Link to comment Share on other sites More sharing options...
goodchild Posted January 29, 2016 Share Posted January 29, 2016 American Academy of Pediatrics: "Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation" http://pediatrics.aappublications.org/content/pediatrics/114/1/297.full.pdf Link to comment Share on other sites More sharing options...
David Saikin Posted January 29, 2016 Share Posted January 29, 2016 (edited) We do cord w/u on group O and Rh Neg mother's. Also, if a baby's bili starts to rise they might order a w/u from a mother that doesn't fit the paradigm. I've seen a +DAT due to private ag from the father. Made a good paper (mid-1980s). Transfusion Volume 24, Issue 1, pages 19–21, January-February 1984 Edited January 29, 2016 by David Saikin Malcolm Needs and amym1586 2 Link to comment Share on other sites More sharing options...
amym1586 Posted January 29, 2016 Share Posted January 29, 2016 4 minutes ago, David Saikin said: We do cord w/u on group O and Rh Neg mother's. Also, if a baby's bili starts to rise they might order a w/u from a mother that doesn't fit the paradigm. I've seen a +DAT due to private ag from the father. Made a good paper (mid-1980s). Ooh, Interesting. I'll have to find that. Occasionally, the nurses call down and ask that I complete the DAT after we have to determined it to not be necessary. I don't fight them on it but I usually roll my eyes . I guess I'll have to stop that. haha Link to comment Share on other sites More sharing options...
Laurie Underwood Posted January 29, 2016 Share Posted January 29, 2016 Do cord blood workups (ABO/Rh and DAT) on all babies born to group O and Rh Negative moms. Link to comment Share on other sites More sharing options...
mollyredone Posted January 30, 2016 Share Posted January 30, 2016 We do them on all babies. We are a small hospital and I have bigger battles to fight. But when they are positive we just turn them out as positive and let the doctor figure out his/her course of action. Link to comment Share on other sites More sharing options...
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