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|Title: ||Two venipunctures in umbilical cord blood collection: Perception and real use by midwives|
|Authors: ||Filipe Lima|
|Issue Date: ||1-Mar-2019|
|Citation: ||Filipe Lima, Tânia Cunha, Beatriz Araújo, Lisete Mónico, Anabela Salgueiro-Oliveira, César Fonseca, Pedro Parreira. Two venipunctures in umbilical cord blood collection: Perception and real use by midwives (2019). In: Braga, L. M., Alves, E. C., Siman, A. G., Fani, M. O., & Santos, F. B. (2019). CISBETI 2019-International Congress of Health, Well-Being, Technology and Innovation. BMC Health Services Research, 19(1), 448. https://doi.org/10.1186/s12919-019-0166-9|
The collection of umbilical cord blood (UCB) is a unique moment, it
requires trained professionals with skills to execute the technique, to
obtain the maximum blood and an adequate cellular recovery.
In this way, the Portuguese public bank developed a standard operating
procedure and disseminated for the execution of the UCB collection technique,
to maximize the volume and to minimize the 70% discarded rate.
The established technique is performed after birth with the placenta
in utero and consists in obtaining by gravity the blood that remains
in the placenta and the umbilical cord, through the execution of two
distinct punctures in the umbilical vein (one most distal and other in
the proximal region of the placenta).
This study aims to identify the perception that midwives have about
the utility of two venipunctures in performing the UCB collection
technique and to identify its real use for maximizing blood collected
The data were obtained through a semi structured interview, carried
out to 10 Midwives. The interviews were previously scheduled, voluntary
and anonymous participation requested. Data were recorded,
transcribed and analysed using a content analysis technique.
Ten midwives participated in the study, 9 females and 1 male. The experience
of the participants in the UCB collection ranged from 2 to 20 years.
Concerning the perception of utility, most of the participants do not
consider, the execution of 2 venipunctures, useful for obtaining more
volume. During interviews it is said that: "There is no need, usually
with a puncture is achieved", "a puncture is enough".
Regarding the real use of the procedure only 1 participant reported
doing, 4 admit being rare, 3 sometimes and 2 never do.
In the opinion of the interviewees, the second venipuncture is associated
with the contamination of unit and the formation of clots.
The midwives do not recognize the utility and do not use the second
puncture to maximize the volume collected.
The results of this investigation recommend a reflection about the
accuracy and assessment of the procedure.
In practice the collection manager should make a quality improvement
of these procedures to minimize the number of discards.
Collection of umbilical corb blood, ,|
|Appears in Collections:||ENF - Artigos em Livros de Actas/Proceedings|
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