Umbilical Cord Blood Banking: Consensus Statement of the Indian Academy of Pediatrics

Justification Practitioners and people need information about the therapeutic potential of umbilical cord blood stem cells and pros and cons of storing cord blood in public versus private banks. Process Indian Academy of Pediatrics conducted a consultative meeting on umbilical cord blood banking on...

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Bibliographic Details
Published in:Indian pediatrics 2018-06, Vol.55 (6), p.489-494
Main Authors: Sachdeva, Anupam, Gunasekaran, Vinod, Malhotra, Payal, Bhurani, Dinesh, Yadav, Satya Prakash, Radhakrishnan, Nita, Kalra, Manas, Bhat, Sunil, Misra, Ruchira, Jog, Pramod
Format: Article
Language:English
Subjects:
Blood Banking - methods
Blood Banks - organization & administration
Blood Banks - standards
Cord Blood Stem Cell Transplantation
Fetal Blood
Health Policy
Humans
India
Maternal and Child Health
Medicine
Medicine & Public Health
Pediatric Surgery
Pediatrics
Recommendations
Societies, Medical
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Summary:Justification Practitioners and people need information about the therapeutic potential of umbilical cord blood stem cells and pros and cons of storing cord blood in public versus private banks. Process Indian Academy of Pediatrics conducted a consultative meeting on umbilical cord blood banking on 25th June 2016 in Pune, attended by experts in the field of hematopoietic stem cell transplantation working across India. Review of scientific literature was also performed. All expert committee members reviewed the final manuscript. Objective To bring out consensus guidelines for umbilical cord banking in India. Recommendations Umbilical cord blood stem cell transplantation has been used to cure many malignant disorders, hematological conditions, immune deficiency disorders and inherited metabolic disorders, even when it’s partially HLA mismatched. Collection procedure is safe for mother and baby in an otherwise uncomplicated delivery. Public cord blood banking should be promoted over private banking. Private cord blood banking is highly recommended when an existing family member (sibling or biological parent) is suffering from diseases approved to be cured by allogenic stem cell transplantation. Otherwise, private cord blood banking is not a ‘biological insurance’, and should be discouraged. At present, autologous cord stem cells cannot be used for treating diseases of genetic origin, metabolic disorders and hematological cancers. Advertisements for private banking are often misleading. Legislative measures are required to regularize the marketing strategies of cord blood banking.
ISSN:0019-6061
0974-7559
DOI:10.1007/s13312-018-1340-2