Dr. Vijay Guleria, BPT MPT(Ortho) MSW. Physiotherapy advocate

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Cord blood banking: a different aspect for safer future

Cord blood banking: a different aspect for safer future 

In order to understand the cord blood banking, first of all we have to understand the cord blood.

What is cord blood?

It is the blood in your baby's umbilical cord (In placental mammals, the umbilical cord (also called the navel string, birth cord or funiculus umbilicalis) is a conduit between the developing embryo or fetus and the placenta).
Cord blood contains stem cells that have properties to grow into blood vessels, organs, and tissues.


Researches are going on along with clinical trials on cord blood to explore  their suitability for helping those with Spinal cord injuries, brain injury, autism,  and other conditions. These specialized cells are already used to treat dozens of diseases.


So your baby's cord blood can be collected by professionals at birth and stored for future use if required to fight some diseases if any.

What is cord blood banking?

Cord blood banking involves in collecting blood left in newborn's umbilical cord and placenta and storing it for future medical use if required, because cord blood contains potentially lifesaving cells called stem cells.

For cord blood storage, you have two main options:

You can donate your baby's cord blood to a public cord blood bank for anyone who needs it.
You can pay to store your baby's cord blood in a private cord blood bank for your family's use.


Benefits of cord blood banking?

Cord blood offers a number of advantages to donors and transplant recipients. It is easy to collect, often more likely to provide a suitable match and is stored frozen, ready to use. 
Now as we know that cord blood is a rich source of blood stem cells so it is very beneficial to store the cord blood.
Stem cells are the building blocks of the blood and immune system of the body. Stem cells have the ability to develop into other types of cells, so they can help repair tissues, organs, and blood vessels if needed in future. Patients with conditions like leukemia, for instance, chemotherapy is often used to rid their body of diseased cells so that normal blood cell production can be restored. Once that happens, the disease goes into remission.



Stem cells are also found in bone marrow, human embryos, fetal tissue, hair follicles, baby teeth, fat, circulating blood, and muscle. Every part of the human body contains some stem cells, but sadly most of them are not a rich enough source to be harvested for therapeutic applications.

If the treatment fails or disease recurs, however, doctors often do a stem cell transplant. It is a transfusion of stem cells from the bone marrow, peripheral blood (blood in the bloodstream), or cord blood from a healthy donor can help create a new blood and immune system, giving the patient a better chance of making a full recovery.


Unlike the stem cells in bone marrow or peripheral blood, stem cells in cord blood are immature and haven't yet learned how to attack foreign substances. It's easier to match transplant patients with cord blood than with other sources of stem cells because the cord blood stem cells are less likely to reject the transfusion.

     
How is cord blood collected?

Cord blood is collected right after birth. The collection process is painless and safe for you and your baby. 

In fact, it's so quick and painless that parents – caught up in holding and bonding with their new baby – are often unaware it has even happened.

Here's how it's done?

Clamping and cutting the cord
After you've delivered your baby, whether vaginally or by c-section, the cord is clamped and then cut in the usual way – either by your partner or your Doctor or medical professional.

You can delay cord clamping, as long as the delay is brief – no more than a minute or two. (If cord clamping is delayed too long, the blood in the cord will clot. And once the blood clots, it's of no benefit to anyone – it doesn't go to your baby and can't be collected for storage.)

Extracting the cord blood
Your doctor or healthcare professional then inserts a needle into the umbilical vein on the part of the cord that's still attached to the placenta.  It is safe and pain free as the needle doesn't go anywhere near your baby.


Now the blood drains into a collection bag. Commonly, 30 to 140 milliliter of blood is collected. The entire process takes less than 10-15 minutes.

Shipping:
The blood is shipped to a cord blood bank, where it's tested, processed, and cryopreserved (preserved by controlled freezing) for long-term storage.
Some family cord blood banks now offer to collect a segment of the umbilical cord in addition to the cord blood. Umbilical cord tissue contains stem cells that are different from cord blood stem cells, and researchers are studying their possible use in future.




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