Step-by-Step Collection Instructions
A copy of these are printed inside of your kit. If you would like to print another copy, download the printer-friendly PDF below.
1. Cord Blood
Collect 40mL minimum, ideally 60-100 mL.
Label cord blood bag.
2. Cord Tissue
(If collecting)
Collect 6-8 inches
Label cord tissue cup.
3. Placenta
(If collecting)
Collect Entire Tissue
Label placenta jar.
4. Collection Form
Vaginal Delivery
C-Section
Other
Other issues related to collection or birth:
Collection Facility Name
Baby A
Female
Male
Baby B
Female
Male
Baby C
Female
Male
I certify to the following: (1) I collected the cord blood and cord tissue after the birth of the baby. (2) I verified the identity of the placenta and umbilical cord belonging to said baby. (3) I verified that the cord blood unit and cord tissue unit were properly labeled as required. (4) I verified the birth paren’t and the baby appeared to be in good health.
Provider Signature
Provider Name
5. Birth Parent Blood Sample
Collect within approximately 2 hours of birth.
Collect blood draw in tubes provided (bag is for the cord blood).
Fill all tubes at least 3/4 full following blood bank standards and invert 5-7 times, do not shake sample.
Place tubes in bag. Record information on Collection Form. Verify that every tube is labeled with the kit’s labels (or use hospital-printed labels with the birth parent’s full name, DOB, collection date, collection time, and the collector’s initials).