What questions should parents ask a Family Bank about Laboratory Standards?

  • Is the cord blood laboratory accredited by an agency that has specific standards for cord blood banks and conducts inspections? (ex: AABB, FACT, ISO)
  • Some US states license cord blood banks (CA, MD, NJ, NY): Do they operate in those states?  Note that the California Biologics License is based on AABB accreditation, but lags behind the latest AABB updates.
  • Does the lab process cord blood around the clock, or only on selected shifts?
  • What tests does the lab perform on maternal blood?  
  • What tests does the lab perform for infectious disease markers?
  • What tests does the lab perform for contamination?
  • Does the lab ever reject cord blood collections on the basis of the tests of maternal blood, infectious diseases, or contamination? 
  • Does the lab maintain a "quarantine tank" for the storage of blood that might be able to transmit an infection?
  • What tests does the lab perform to measure the stem cell count of the processed cord blood and the stem cell viability?
  • Does the lab/bank inform parents, prior to storage, if the collection is too small for a transplant, and give them the option not to save it?
  • Does the lab/bank offer parents a refund if the cord blood collection has certain problems (contamination, low volume)?  These refunds are typically only offered if the bank performed the collection as part of their service.
  • What information will parents receive in the final report about their stored cord blood?