Should We Screen Cord Blood For ABO Incompatibility?

Paige K. Kube, Z. Aghai
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Abstract

Background: Routinetperformance of blood group and direct coombs test (DCT) on cord blood is controversial. At our institution, from 2007-2013, cord blood type and DCT was obtained for every newborn born to O positive mothers. For newborns with ABO incompatibility, first bilirubin check occurred at 6 hours of life. Phototherapy would commence in newborn nursery if needed with transfer to neonatal intensive care unit (NICU) for intensive phototherapy or additional intervention, including IVIG and exchange transfusion. Beginning 2014, routine cord blood group and DCT was no longer performed. First bilirubin level …
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我们应该筛查脐带血ABO血型不合吗?
背景:脐带血血型和直接库姆斯试验(DCT)的常规性能存在争议。在我们的机构,从2007年到2013年,为每一个O型阳性母亲所生的新生儿获得脐带血类型和DCT。对于ABO血型不合的新生儿,第一次胆红素检查发生在出生后6小时。如果需要,将在新生儿托儿所开始光疗,并转移到新生儿重症监护病房(NICU)进行强化光疗或其他干预,包括IVIG和交换输血。2014年开始,不再进行常规脐带血检查和DCT检查。第一个胆红素水平…
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