Saturday, December 26, 2015

Cord Blood Banking vs. Delayed Cord Cutting


Joe and I have been looking into our options regarding our baby’s cord blood.  At first I just wanted to donate it figuring it could help someone in need.  Joe thought maybe it would be a good investment to bank it.  However, there’s no history of cancers, blood disorders or genetic diseases in either of our families so I don’t really see a point in spending thousands of dollars to bank something that might never be needed.  I think he thinks of it as an insurance policy and worries that if something ever did happen and we had the option or ability to help our baby in the future, we should.  However, there’s no real guarantee that it’ll actually cure anything.  It would just be used for treatment.

During our childbirth class the lecturer mentioned delayed clamping.  Apparently the placenta has one third of the baby’s blood still in it and you can wait up to 3 minutes after birth (or until the placenta stops pulsing) before cutting the cord to make sure your baby gets all of its blood.  Studies have shown it’s very beneficial to for the baby’s health to have all of its blood since it’ll have more red blood cells, stem cells and immune cells.  Plus, studies have also shown better neurodevelopment in babies with delayed clamping.  The only risk seems to be a higher rate of jaundice.

Some cord banks claim you can do both but it seems very unlikely.  Most doctors and midwives I’ve read articles from say you cannot do both (there’s a pretty good article called Confessions of a Vampire Midwife about cord blood collection).  The minimum amount of blood needed for collection is 45mls.  That’s the equivalent to three bottles of nail polish and that’s only the minimum amount.  I honestly think cord blood banks are just saying that you can do both hoping you’ll pay them to store your cord blood even if the sample is insufficient.  Clearly they'd want more than the minimum for a donation.

Joe said we should just ask our doctor on the next visit but I think I’m pretty set on the delayed clamping.  Since we have to choose between the two, it seems that would be the most beneficial.  If our families had histories of cancer or genetic diseases I might lean more toward banking but I just don’t think it’s that necessary for us. 

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