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Cord blood sampling for neonatal admission laboratory testing-An evidence-based blood conservation strategy

Journal

SEMINARS IN PERINATOLOGY
Volume 47, Issue 5, Pages -

Publisher

W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.semperi.2023.151786

Keywords

Iatrogenic blood loss; Phlebotomy blood loss; Preterm neonates; Red blood cell transfusion; Umbilical cord blood

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In the past, direct neonatal phlebotomy was commonly used to obtain blood for admission laboratory studies in neonates. However, over the past decade, there have been increasing studies evaluating the feasibility and clinical impact of using cord blood samples for admission testing. This article reviews multiple studies that have demonstrated the acceptability and benefits of using cord blood samples in neonatal admission testing.
Historically, blood for admission laboratory studies in neonates was obtained through direct neonatal phlebotomy. Over the past decade there has been an increase in studies evaluating the validity and clinical impact of using a cord blood sample for many admission laboratory studies. This article reviews various studies that together have shown that using cord blood samples for admission testing in neonates is both acceptable and beneficial.& COPY; 2023 Elsevier Inc. All rights reserved.

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