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, 20169 yr by NICKJM

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.

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.

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

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, 20169 yr by David Saikin

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

Do cord blood workups (ABO/Rh and DAT) on all babies born to group O and Rh Negative moms.

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.