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how to link a neonatal transfusion to the testing done on the mother?

lalamb
in Transfusion Services

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comment_47039

WE rarely transfuse babies. Have a current situation where mom = A pos (R1R1) and has a current and known anti little c.

Mom is being induced tomorrow - have ordered up 2 units of ag neg blood for mom, and 1 unit of O pos, little c and big E neg blood for baby, just in case. (ordered O pos as baby is expected to be Rh pos, and O neg , little c neg is rare, per ref lab).

We will crossmatch baby's unit against mom's plasma.

Our policy doesn't say how to "band the baby"...just says get a banded specimen from the mom and crossmatch her plasma to the pedi unit. How do others link the recipient-baby to the mother?

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comment_47040
WE rarely transfuse babies. Have a current situation where mom = A pos (R1R1) and has a current and known anti little c.

Mom is being induced tomorrow - have ordered up 2 units of ag neg blood for mom, and 1 unit of O pos, little c and big E neg blood for baby, just in case. (ordered O pos as baby is expected to be Rh pos, and O neg , little c neg is rare, per ref lab).

We will crossmatch baby's unit against mom's plasma.

Our policy doesn't say how to "band the baby"...just says get a banded specimen from the mom and crossmatch her plasma to the pedi unit. How do others link the recipient-baby to the mother?

It looks like you don't have NICU unit. In our case, we just go to the babies computer chart to check the mother.

- - - Updated - - -

WE rarely transfuse babies. Have a current situation where mom = A pos (R1R1) and has a current and known anti little c.

Mom is being induced tomorrow - have ordered up 2 units of ag neg blood for mom, and 1 unit of O pos, little c and big E neg blood for baby, just in case. (ordered O pos as baby is expected to be Rh pos, and O neg , little c neg is rare, per ref lab).

We will crossmatch baby's unit against mom's plasma.

Our policy doesn't say how to "band the baby"...just says get a banded specimen from the mom and crossmatch her plasma to the pedi unit. How do others link the recipient-baby to the mother?

It looks like you don't have NICU unit. In our case, we just go to the babies computer chart to check the mother.

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comment_47041

Correct - we have no nicu. It seems strange to issue a unit to a patient (baby) and the baby isn't banded / linked to the pretransfusion specimen.

comment_47042
Correct - we have no nicu. It seems strange to issue a unit to a patient (baby) and the baby isn't banded / linked to the pretransfusion specimen.

Newborn Screen still needs to be done even though pedia unit was crossmatched with the moms plasma.

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