Cord
blood or umbilical cord blood is that blood which is left in the placenta
and in the attached umbilical cord after childbirth.
Cord
blood is obtained from umbilical cord when the cord has been removed
from the newborn. Cord blood gets collected due to the fact that it
contains stem cells including hematopoietic cells which are utilized
in treating hematopoietic and genetic disorders as well. Since
cord blood stem cells can safely be infused back into the same person
with any hindrance due to bodys immune system and also the cord
blood stem cells have specific characteristics as compared to stem
cells from other sources, researches have paced up in the field of
regenerative medicines (medicines used in treatment to repair or regrow
specific tissues of the body). Physicians
perform potential cord blood therapies only on those children who
have their own cord blood stem cells available because there is no
point of rejection of autologous cells by the immune system. Also
researches are being done for using the cord blood stem cells for
therapeutic purposes apart from those in cancers or any blood disorder.
Research
is also being done to utilize the cord blood in various fields like
treating type 1 diabetes, cardiovascular repair, alleviated mobility
symptoms, in central nervous system etc. Cord blood can be collected
in a number of ways of which the most commonly used in clinics is
the closed technique which is very similar to the other
standard blood collection techniques. In this
method the doctor cannulates the vein of severed umbilical cord with
the help of a needle which is connected to the blood bag. Cord blood
flows into the bag through the needle. This collected cord blood is
then cryopreserved and stored in the cord blood bank so that it can
be used in the future transplantation. Cord
blood bank can be private or public. In private blood bank the collected
cord blood is stored for the donor families on a payment whereas in
public blood bank the cord blood is stored and availed for any general
person not related to the donor family. A very
small number of babies that is 1 in 1000 would require or use his/her
stored umbilical blood cord ever.
The
role of a cord blood in treating various diseases
It is also possible that if umbilical cord is not prematurely clamped,
some placental blood returns to neonatal circulation. In case umbilical
cord is not clamped, a physiological postnatal occlusion may occur
when it comes in contact with cold air, also when internal gelatinous
substance swells up around umbilical arteries and veins. Removal of
umbilical cord blood is not at all harmful for the baby but this blood
can be thrown away just as a medical waste.
Physicians should keep a note of unsubstantiated claims that the private
cord blood banks may impose on future parents that ensures that infants
or family members would not have any serious illness due to the use
of stem cells contained in the cord blood anytime in the future.