Re: [ozmidwifery] Routine collection and testing of cord blood
I agree, it does seem to be 'overkill'. Sometimes
CRP is not requested for all those indications, but if we are doing an infection
screen for our routine reasons, CRP is often ordered next and subsequent
days. The initial one is invariably <7 so the subsequent one is more
valid, then of course if that is raised there will be another.
As we have different paediatricians on different
days 'routine' does not really apply as one will do something very different
from another!.
We also observe baby 4hrly X 48 hrs for signs of
infection. If there are any, they commence IM antibiotics. It
seems that we are stabbing and injecting babies so often these days, I wish we
weren't.
Sue
"The only thing necessary for the triumph of evil is for good men to do
nothing"Edmund Burke
- Original Message -
From:
Megan
Woodman-Browning
To: ozmidwifery@acegraphics.com.au
Sent: Thursday, August 25, 2005 7:41
AM
Subject: Re: [ozmidwifery] Routine
collection and testing of cord blood
Hi Sue, Can I please just confirm your e-mail -
At your place of work you do a CRP on all babies who have had Mec.Liquor at
birth, where there has been PROM, GBS+ve mothers, unbooked clients and mothers
with a fever during labour? And you do this in the first 24hrs- 48 hours
foll. birth?
I am not being rude here but do you think a
CRP is really necessary? What ever happened to observation of the baby
before jumping into a medical procedure?
Looking forward to hearing your
reply
Megan
- Original Message -
From:
Susan
Cudlipp
To: ozmidwifery@acegraphics.com.au
Sent: Wednesday, August 24, 2005 11:39
AM
Subject: Re: [ozmidwifery] Routine
collection and testing of cord blood
I agree, what a waste of time and money as well
as your other concerns.
We collect a small ammount of cord blood at
each birth. The reason given is so that we have some of baby's blood
if s/he should develop any infection or extreme jaundice, that it might be
tested. It is discarded after a few days. I have never actually known of
this being used, but I may be wrong.
Cord blood is taken for Rh-v as well but we do
not bleed the babies - surely that is not necessary.
We don't do routine cord blood cultures as part
of infection screens anymore, but the babies usually have CRP on day 1 &
2. Mec liquor, PROM, GBS, unbooked clients and maternal fever are the
ones who have routine infection screen
Cord blood collection via private agencies is
coming in fast and I for one, find this worrying. Some hospitals
routinely clamp and cut a section of cord asap to check the Ph
level.
Sounds like this needs to be
challenged
Good luck, Sue
"The only thing necessary for the triumph of evil is for good men to do
nothing"Edmund Burke
- Original Message -
From:
Helen and Graham
To: ozmidwifery
Sent: Wednesday, August 24, 2005 8:02
AM
Subject: [ozmidwifery] Routine
collection and testing of cord blood
I have another question, this time regarding
the routine collection of cord blood. In previous places I have
worked, we only collected it for RH negative women or those with no
antenatal blood results available. Even if the woman was RPR
positive, the doctors would still bleed the baby to get a more accurate
result instead of relying on the results of the cord blood. There
were no other indications for collecting it.
At the place I now work, we are still
collecting it on every patient and they are all being tested for
group and coombs etc. This seems a total waste of time and money to
me as well as an unnecessary occupational safety risk to
staff.
The only other reason I see to
justify collecting it would be if it could be used in a cord
blood bank? Does anyone know if this is the
case?
Looking forward to some more
advice
Helen Cahill
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24/08/2005
RE: [ozmidwifery] Routine collection and testing of cord blood - ABO incompatibility
IMO testing for group and coombs etc may be beneficial. I know of more than one case where there was ABO incompatibility (mum O pos and bub A pos) and it was only when bub turned bright yellow (one born yellow, one turned within 12 hrs of birth) that bloods were done and phototherapy commenced with the threat of exchange transfusion if SBR reached over ^400. How common is exchange transfusion anyway? What are some of the protocols out there re ABO incompatibility? Just curious as we were all told how “very rare” it is. Thanks, Julia V. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of JoFromOz Sent: Wednesday, 24 August 2005 10:31 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Routine collection and testing of cord blood Helen and Graham wrote: At the place I now work, we are still collecting it on every patient and they are all being tested for group and coombs etc. This seems a total waste of time and money to me as well as an unnecessary occupational safety risk to staff. Helen, we collect cord blood on each baby for the same reason, but it is kept in the fridge for (however long) incase the baby has early jaundice. Only then is it sent off. HTH Jo
Re: [ozmidwifery] Routine collection and testing of cord blood
As a doula, I always try to inform parents of the benefits of not cutting the cord until it has stopped pulsing. I have had 3 babies, and none of them had their cords cut until I was ready. I have attended a birth were the mum wanted the cord blood to be saved and stored...some sort of cryogenics type thing, but I was wondering if this procedure that you are discussing has any impact on not cutting the cord. How and when is it taken?? What happens if a mum wants a lotus birth?? Very interested. Lisax - Original Message - From: Megan Woodman-Browning To: ozmidwifery@acegraphics.com.au Sent: Thursday, August 25, 2005 7:41 AM Subject: Re: [ozmidwifery] Routine collection and testing of cord blood Hi Sue, Can I please just confirm your e-mail - At your place of work you do a CRP on all babies who have had Mec.Liquor at birth, where there has been PROM, GBS+ve mothers, unbooked clients and mothers with a fever during labour? And you do this in the first 24hrs- 48 hours foll. birth? I am not being rude here but do you think a CRP is really necessary? What ever happened to observation of the baby before jumping into a medical procedure? Looking forward to hearing your reply Megan - Original Message - From: Susan Cudlipp To: ozmidwifery@acegraphics.com.au Sent: Wednesday, August 24, 2005 11:39 AM Subject: Re: [ozmidwifery] Routine collection and testing of cord blood I agree, what a waste of time and money as well as your other concerns. We collect a small ammount of cord blood at each birth. The reason given is so that we have some of baby's blood if s/he should develop any infection or extreme jaundice, that it might be tested. It is discarded after a few days. I have never actually known of this being used, but I may be wrong. Cord blood is taken for Rh-v as well but we do not bleed the babies - surely that is not necessary. We don't do routine cord blood cultures as part of infection screens anymore, but the babies usually have CRP on day 1 & 2. Mec liquor, PROM, GBS, unbooked clients and maternal fever are the ones who have routine infection screen Cord blood collection via private agencies is coming in fast and I for one, find this worrying. Some hospitals routinely clamp and cut a section of cord asap to check the Ph level. Sounds like this needs to be challenged Good luck, Sue "The only thing necessary for the triumph of evil is for good men to do nothing"Edmund Burke - Original Message - From: Helen and Graham To: ozmidwifery Sent: Wednesday, August 24, 2005 8:02 AM Subject: [ozmidwifery] Routine collection and testing of cord blood I have another question, this time regarding the routine collection of cord blood. In previous places I have worked, we only collected it for RH negative women or those with no antenatal blood results available. Even if the woman was RPR positive, the doctors would still bleed the baby to get a more accurate result instead of relying on the results of the cord blood. There were no other indications for collecting it. At the place I now work, we are still collecting it on every patient and they are all being tested for group and coombs etc. This seems a total waste of time and money to me as well as an unnecessary occupational safety risk to staff. The only other reason I see to justify collecting it would be if it could be used in a cord blood bank? Does anyone know if this is the case? Looking forward to some more advice Helen Cahill No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.338 / Virus Database: 267.10.14/79 - Release Date: 22/08/2005
Re: [ozmidwifery] Routine collection and testing of cord blood
Hi Sue, Can I please just confirm your e-mail - At your place of work you do a CRP on all babies who have had Mec.Liquor at birth, where there has been PROM, GBS+ve mothers, unbooked clients and mothers with a fever during labour? And you do this in the first 24hrs- 48 hours foll. birth? I am not being rude here but do you think a CRP is really necessary? What ever happened to observation of the baby before jumping into a medical procedure? Looking forward to hearing your reply Megan - Original Message - From: Susan Cudlipp To: ozmidwifery@acegraphics.com.au Sent: Wednesday, August 24, 2005 11:39 AM Subject: Re: [ozmidwifery] Routine collection and testing of cord blood I agree, what a waste of time and money as well as your other concerns. We collect a small ammount of cord blood at each birth. The reason given is so that we have some of baby's blood if s/he should develop any infection or extreme jaundice, that it might be tested. It is discarded after a few days. I have never actually known of this being used, but I may be wrong. Cord blood is taken for Rh-v as well but we do not bleed the babies - surely that is not necessary. We don't do routine cord blood cultures as part of infection screens anymore, but the babies usually have CRP on day 1 & 2. Mec liquor, PROM, GBS, unbooked clients and maternal fever are the ones who have routine infection screen Cord blood collection via private agencies is coming in fast and I for one, find this worrying. Some hospitals routinely clamp and cut a section of cord asap to check the Ph level. Sounds like this needs to be challenged Good luck, Sue "The only thing necessary for the triumph of evil is for good men to do nothing"Edmund Burke - Original Message - From: Helen and Graham To: ozmidwifery Sent: Wednesday, August 24, 2005 8:02 AM Subject: [ozmidwifery] Routine collection and testing of cord blood I have another question, this time regarding the routine collection of cord blood. In previous places I have worked, we only collected it for RH negative women or those with no antenatal blood results available. Even if the woman was RPR positive, the doctors would still bleed the baby to get a more accurate result instead of relying on the results of the cord blood. There were no other indications for collecting it. At the place I now work, we are still collecting it on every patient and they are all being tested for group and coombs etc. This seems a total waste of time and money to me as well as an unnecessary occupational safety risk to staff. The only other reason I see to justify collecting it would be if it could be used in a cord blood bank? Does anyone know if this is the case? Looking forward to some more advice Helen Cahill No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.338 / Virus Database: 267.10.14/79 - Release Date: 22/08/2005
RE: [ozmidwifery] Routine collection and testing of cord blood
Cord blood banking requires a minimal amount, I think about 70 mls, (don't quote me.) It is a waste of health dollars, and needs be reviewed. Do some research, find out how much it is costing, and the number of bubs requiring treatment. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Helen and GrahamSent: Wednesday, 24 August 2005 10:02 AMTo: ozmidwiferySubject: [ozmidwifery] Routine collection and testing of cord blood I have another question, this time regarding the routine collection of cord blood. In previous places I have worked, we only collected it for RH negative women or those with no antenatal blood results available. Even if the woman was RPR positive, the doctors would still bleed the baby to get a more accurate result instead of relying on the results of the cord blood. There were no other indications for collecting it. At the place I now work, we are still collecting it on every patient and they are all being tested for group and coombs etc. This seems a total waste of time and money to me as well as an unnecessary occupational safety risk to staff. The only other reason I see to justify collecting it would be if it could be used in a cord blood bank? Does anyone know if this is the case? Looking forward to some more advice Helen Cahill
RE: [ozmidwifery] Routine collection and testing of cord blood
We collect cord blood routinely on all babies and send to lab for coombs etc Babies of Aboriginal or Torres Strait Islander mothers have two tubes sent, the second for syphyllis serology. Cord gases are also performed routinely on all babies. Lindsay From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Susan Cudlipp Sent: Wednesday, 24 August 2005 11:39 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Routine collection and testing of cord blood I agree, what a waste of time and money as well as your other concerns. We collect a small ammount of cord blood at each birth. The reason given is so that we have some of baby's blood if s/he should develop any infection or extreme jaundice, that it might be tested. It is discarded after a few days. I have never actually known of this being used, but I may be wrong. Cord blood is taken for Rh-v as well but we do not bleed the babies - surely that is not necessary. We don't do routine cord blood cultures as part of infection screens anymore, but the babies usually have CRP on day 1 & 2. Mec liquor, PROM, GBS, unbooked clients and maternal fever are the ones who have routine infection screen Cord blood collection via private agencies is coming in fast and I for one, find this worrying. Some hospitals routinely clamp and cut a section of cord asap to check the Ph level. Sounds like this needs to be challenged Good luck, Sue "The only thing necessary for the triumph of evil is for good men to do nothing" Edmund Burke - Original Message - From: Helen and Graham To: ozmidwifery Sent: Wednesday, August 24, 2005 8:02 AM Subject: [ozmidwifery] Routine collection and testing of cord blood I have another question, this time regarding the routine collection of cord blood. In previous places I have worked, we only collected it for RH negative women or those with no antenatal blood results available. Even if the woman was RPR positive, the doctors would still bleed the baby to get a more accurate result instead of relying on the results of the cord blood. There were no other indications for collecting it. At the place I now work, we are still collecting it on every patient and they are all being tested for group and coombs etc. This seems a total waste of time and money to me as well as an unnecessary occupational safety risk to staff. The only other reason I see to justify collecting it would be if it could be used in a cord blood bank? Does anyone know if this is the case? Looking forward to some more advice Helen Cahill No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.10.14/79 - Release Date: 22/08/2005 No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.10.15/80 - Release Date: 23/08/2005
Re: [ozmidwifery] Routine collection and testing of cord blood
I agree, what a waste of time and money as well as your other concerns. We collect a small ammount of cord blood at each birth. The reason given is so that we have some of baby's blood if s/he should develop any infection or extreme jaundice, that it might be tested. It is discarded after a few days. I have never actually known of this being used, but I may be wrong. Cord blood is taken for Rh-v as well but we do not bleed the babies - surely that is not necessary. We don't do routine cord blood cultures as part of infection screens anymore, but the babies usually have CRP on day 1 & 2. Mec liquor, PROM, GBS, unbooked clients and maternal fever are the ones who have routine infection screen Cord blood collection via private agencies is coming in fast and I for one, find this worrying. Some hospitals routinely clamp and cut a section of cord asap to check the Ph level. Sounds like this needs to be challenged Good luck, Sue "The only thing necessary for the triumph of evil is for good men to do nothing"Edmund Burke - Original Message - From: Helen and Graham To: ozmidwifery Sent: Wednesday, August 24, 2005 8:02 AM Subject: [ozmidwifery] Routine collection and testing of cord blood I have another question, this time regarding the routine collection of cord blood. In previous places I have worked, we only collected it for RH negative women or those with no antenatal blood results available. Even if the woman was RPR positive, the doctors would still bleed the baby to get a more accurate result instead of relying on the results of the cord blood. There were no other indications for collecting it. At the place I now work, we are still collecting it on every patient and they are all being tested for group and coombs etc. This seems a total waste of time and money to me as well as an unnecessary occupational safety risk to staff. The only other reason I see to justify collecting it would be if it could be used in a cord blood bank? Does anyone know if this is the case? Looking forward to some more advice Helen Cahill No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.338 / Virus Database: 267.10.14/79 - Release Date: 22/08/2005
Re: [ozmidwifery] Routine collection and testing of cord blood
Helen and Graham wrote: At the place I now work, we are still collecting it on every patient and they are all being tested for group and coombs etc. This seems a total waste of time and money to me as well as an unnecessary occupational safety risk to staff. Helen, we collect cord blood on each baby for the same reason, but it is kept in the fridge for (however long) incase the baby has early jaundice. Only then is it sent off. HTH Jo
