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: [email protected]
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

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