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Books on Labor Delivery
Utah Medical Products
- Quick and easy 4-step
activation
- Enclosed collection reservoir
for obtaining clean, uncontaminated blood
- Reliable, secure cord clamp
- Ergonomic handle assists in
delivery of placenta
- Protective sheath keeps tubes
clean for labeling
- Two 5cc vacuum tubes
conveniently slide from handle when full
Utah Medical's Cordguard®
is a unified system for umbilical cord clamping, cutting and blood
collection. It provides an excellent neonatal blood sample while minimizing the
chances of clinician exposure to blood.
CLINICAL NEED
"There are a number of instances where the collection of blood from the
neonate is difficult or impossible, thus placing strong emphasis on the
collection of umbilical cord blood from every delivery." Source:
The Collection of Umbilical Cord Blood, Communicore, 1992
CLINICAL USE
"Cord blood is the best medium for general purpose diagnostic tests
indicative of status in the neonate."
Tests are commonly performed for:
- Routine blood work (i.e. Type, pH, CBC, Direct
coombs)
- Infectious diseases
- Abnormalities/fetal status
- Atopic allergies
- Detection of heavy metals (i.e. Lead)
- Genetic analysis
Potential applications of cord
blood are broader in scope and include:
- Generation of red blood cells
- Gene therapy
"Determination of pH and
blood gas values from umbilical arterial and venous blood provides an objective
method of assessing fetal acid-based status at the time of birth and is a useful
adjunct to the Apgar score in assessing the immediate condition of the newborn.
...umbilical venous blood
can be utilized. In a truly asphyxiated fetus, the pH of both arterial and
venous blood will most likely be very low." Source:
ACOG Technical Bulletin #127
EXPOSURE ISSUES
It's estimated that more than 6.2 million Americans are infected with HIV,
Hepatitis B or Hepatitis C. Source:
Centers for Disease Control and Prevention Publication, Vol. 23, No. 3, Sept.
1994
Exposure Risks:
- 96% of clinician respondents
have been exposed to umbilical cord blood.
- 84% of respondents are
concerned about exposure to umbilical cord blood.
- 39% of vaginal deliveries
expose at least one healthcare worker.
- 50% of cesarean
deliveries expose at least one healthcare worker.
Source: UTMD Market Research, 1994;
American Journal of Ob/Gyn 1992, 167:703-8
"All procedures
involving blood or other potentially infectious materials shall be performed in
such a manner as to minimize splashing, spraying, spattering and generation of
droplets of these substances." Source:
OSHA Regulations on Bloodborne Pathogens, #1910. 1030, Federal Register, Vol.
56, No. 235.
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