Clinical diagnosis of acute foetal distress (AFD) is based on several parameters such as abnormal foetal heart rate (FHR) pattern and/or meconium liquid staining (MLS). Standards for cord blood (CB) banking indicate that AFD should be considered as exclusion criteria for CB collection, but precise guidelines on how to proceed with CB collection in the presence of AFD signs during labour are not available. We evaluated whether the presence of FHR abnormality and/or MLS during labour 1) reduced the CB collection activity; 2) were associated with the infant's acidaemia or asphyxia and 3) deteriorated the biological characteristics of CB units. Thirty-three units of CB were evaluated for biological parameters, gas values and newborn's Apgar score. The results were compared with a control group of 33 consecutive units previously banked. No differences were observed between the two groups and all but one newborn showed normal Apgar score and absence of metabolic acidaemia. The results showed that 1) AFD reduced the CB collection activity by 10% each year; 2) the majority of CB units collected in the presence of abnormal FHR and/or meconium have biological characteristics eligible for banking; 3) FHR alterations or meconium in the presence of normal gas analysis do not represent certain diagnosis of AFD.

Picardi, A., Tamburini, A., Caravita, T., De Angelis, C., Ballatore, ., G:, S., et al. (2006). Diagnosis of acute foetal distress does not preclude banking of umbilical cord blood units. TRANSFUSION MEDICINE, 16(5), 349-354 [10.1111/j.1365-3148.2006.00677.x].

Diagnosis of acute foetal distress does not preclude banking of umbilical cord blood units

PICARDI, ALESSANDRA;DE FABRITIIS, PAOLO;AMADORI, SERGIO
2006-01-01

Abstract

Clinical diagnosis of acute foetal distress (AFD) is based on several parameters such as abnormal foetal heart rate (FHR) pattern and/or meconium liquid staining (MLS). Standards for cord blood (CB) banking indicate that AFD should be considered as exclusion criteria for CB collection, but precise guidelines on how to proceed with CB collection in the presence of AFD signs during labour are not available. We evaluated whether the presence of FHR abnormality and/or MLS during labour 1) reduced the CB collection activity; 2) were associated with the infant's acidaemia or asphyxia and 3) deteriorated the biological characteristics of CB units. Thirty-three units of CB were evaluated for biological parameters, gas values and newborn's Apgar score. The results were compared with a control group of 33 consecutive units previously banked. No differences were observed between the two groups and all but one newborn showed normal Apgar score and absence of metabolic acidaemia. The results showed that 1) AFD reduced the CB collection activity by 10% each year; 2) the majority of CB units collected in the presence of abnormal FHR and/or meconium have biological characteristics eligible for banking; 3) FHR alterations or meconium in the presence of normal gas analysis do not represent certain diagnosis of AFD.
2006
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/15 - MALATTIE DEL SANGUE
Settore MED/05 - PATOLOGIA CLINICA
English
Con Impact Factor ISI
Cord blood banking; Donor criteria; Foetal distress
Picardi, A., Tamburini, A., Caravita, T., De Angelis, C., Ballatore, ., G:, S., et al. (2006). Diagnosis of acute foetal distress does not preclude banking of umbilical cord blood units. TRANSFUSION MEDICINE, 16(5), 349-354 [10.1111/j.1365-3148.2006.00677.x].
Picardi, A; Tamburini, A; Caravita, T; De Angelis, C; Ballatore, ; G:, S; A, ; Malerba, C; Calugi, A; DE FABRITIIS, P; Amadori, S
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/36837
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