Have not been established yet universal standards for the collection and storage of cord blood, but they are required to exchange samples between different banks. Currently, some banks store blood samples intact, while others separated the red blood cells, white blood cells and other components of blood before freezing. There are also other security issues concerning the method of collection of cord blood in order to avoid contamination. The Ministry of Food and Drugs (FDA) is considering these issues.
There are still many unresolved ethical issues concerning the storage of cord blood banks. Some of them are: Who owns the blood sample? How does informed consent from parents before collecting blood? How will provide the necessary advice to help parents make a decision well-founded? How should handle the obligation to notify parents and children of donors the results of medical tests for infectious diseases and genetic information? How can keep privacy and confidentiality? How will provide services for the collection and access to cord blood fairly?
For parents who are expecting a baby and have a family history of genetic diseases such as severe anemia, immune disorders or certain types of cancer, they should consider the benefits it represents for the family store umbilical cord blood. Most families do not have these risk factors and only have a chance in 20,000 of needing a transplant of cells paramount. Families can seek detailed information and advice to doctors and specialists in genetics.
Families who wish to donate umbilical cord blood of their baby to a public bank for use by other people must fully informed of their responsibilities and the consequences of this donation.
How is cord blood collected and stored?
Parents who are expecting a baby can make the necessary arrangements before they are born to take the umbilical cord blood in immediately after birth (within 15 minutes of birth) and for which the store for his own use in a blood bank business. They can also donate to a public bank to make it available to anyone who needs a transplant and for which it is compatible. If parents use a commercial bank, the initial costs range between $ 250 and $ 1,500, plus an annual storage charge of $ 50 to $ 100. Some insurance companies are beginning to cover these costs.
While public banks pay the processing of samples of cord blood, require that parents fill out an extensive questionnaire about their health and disease that have taken. The evidence required for diseases such as hepatitis and HIV, may be costly for parents. In addition, arrangements with these banks have made at least 90 days before the date of confinement.