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Get the free AUTOLOGOUS (SELF) CORD BLOOD STORAGE REGISTRATION FORM - CCBR

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CANADIAN CORD BLOOD repository IMPORTANT: In accordance with Health Canada Guidance (July 2005) INCOMPLETE FORMS CANNOT BE PROCESSED 18228 102 Avenue NW Edmonton, AB T5S 1S7 Tel: 1(888) 8182673 AUTOLOGOUS
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How to fill out autologous self cord blood?

01
Ensure you have all the necessary supplies ready, including collection bags, needles, anticoagulant, and labeling materials.
02
Begin by sanitizing the collection site on the umbilical cord with an alcohol swab or other sterilizing agent.
03
Using a sterile needle and collection bag, carefully insert the needle into the umbilical cord vein.
04
Slowly allow the blood to flow into the collection bag, ensuring the anticoagulant is mixed in with the blood to prevent clotting.
05
Once the desired amount of cord blood is collected, carefully remove the needle from the cord and seal the collection bag.
06
Label the collection bag with all necessary information, including the mother's and baby's names, date and time of collection, and any other required identification.
07
Store the collected cord blood in a secure location, ensuring proper refrigeration or freezing according to the guidelines provided by your cord blood bank.

Who needs autologous self cord blood?

01
Autologous self cord blood may be recommended for individuals with certain genetic disorders or predispositions to diseases that can be treated with stem cell transplantation.
02
It can also be beneficial for those with a family history of certain conditions, as the stem cells collected from the cord blood may be a match for potential future use in the individual or a family member.
03
Additionally, autologous self cord blood may be considered for individuals who wish to have a potential source of stem cells readily available for regenerative therapies or other medical interventions in the future.
04
It is always important to consult with healthcare professionals to determine if autologous self cord blood banking is appropriate for your specific situation and medical history.
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Autologous self cord blood refers to the blood collected from a newborn's umbilical cord and placenta, usually for future personal use.
Parents or legal guardians of the newborn are typically required to file for autologous self cord blood collection.
To fill out autologous self cord blood, parents or legal guardians must contact a cord blood bank to arrange for collection and storage.
The purpose of autologous self cord blood is to have a source of stem cells readily available for potential future medical treatments for the newborn.
Information such as the date of collection, the collection facility, and details of the newborn must be reported on autologous self cord blood forms.
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