Knowledge and Attitude of Staff Nurses on Umblical Cord Blood Stem Cell Banking (original) (raw)
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Knowledge and attitudes among pregnant women and maternity staff about umbilical cord blood banking
Transfusion Medicine, 2016
Dear Sir, Umbilical cord blood (UCB) is a recognised and frequently used source of stem cells for allogeneic hematopoietic transplantation, not only for leukemias and lymphomas but also for bone marrow failure syndromes, haemoglobinopathies, immunodeficiencies and inborn errors of metabolism (Chen et al., 2013). Numerous studies have found the outcome after UCB transplantation to be as good as, or even better, than transplantation with stem cells from matched unrelated donors or siblings (Hwang et al., 2007), with similar leukaemia-free survival and leukaemia relapse (Chen et al., 2013), and lower incidence and severity of acute and chronic graft-versus-host disease (Rodrigues et al., 2014). However, UCB transplantation is more expensive than matched unrelated donor or sibling transplantation, because health care systems are obliged to compensate the cost of building up and managing UCB stem cell banks. UCB samples are collected from the remaining placental and UCB immediately after delivery and stored into either a public or private UCB bank. Despite substantial technical and scientific improvements in UCB banking and transplantation, the method has not yet reached its full potential to follow the growing demand for stem cells. This is partially caused by relatively small number of UCB samples fulfilling the high-quality standards required for storage in the Bone Marrow Donors Worldwide, mostly due to insufficient amount or quality of stem cells obtained from the umbilical cord. This can be improved, at least in part, by good training of staff assigned to collect UCB immediately after delivery. However, insufficient awareness of expectant parents about UCB banking in general (Palten & Dudenhausen, 2010) as well as insufficient knowledge regarding its usefulness may be another important cause of reluctance for donating UCB due to lack of motivation. In order to determine the awareness, level of knowledge, attitudes and information sources of pregnant women and hospital maternity staff about UCB banking and to explore a possible link concerning the knowledge about UCB banking between maternity staff members directly involved in perinatal care and pregnant women to whom they provide it, we conducted a prospective study in two university hospitals in Zagreb, Croatia, between November 2014 and April 2015. The study was granted approval by the Ethics Committees of both hospitals. Two simple anonymous questionnaires were used for pregnant women
Effect of Guideline on Maternity Nurses Attitude about Umbilical Cord Blood Banking and Its Barriers
Umbilical cord blood (cord blood) is a source of blood stem cells that can help save lives. Cord blood is increasingly valued as a resource for transplantation and cell therapy. Aim: Assess maternity nurses' attitude about umbilical cord blood banking and its barrier and improve attitude about umbilical cord blood banking through health education given to nurses by providing guideline containing information about umbilical cord blood importance, advantages, disadvantages, types of banks, and diseases treated by cord blood Research Design: pre-posttest research design was utilized in this study. Material and Methods: This study was conducted at Minia university hospital & General Minia hospital. The study included 78 nurses. Tool in form of scale for measuring attitude by using 30 items rated on three points as usually (2), sometimes (1), and rarely (0). The items were reviewed by expert professor of psychology. Results: The main finding of the study were more than third of sample 38.5% in pretest have negative attitude about umbilical cord blood while 70.5% of sample in posttest have positive attitude. Conclusion: health education was effective in improving attitude about umbilical cord blood banking .recommendation: these finding indicate need to Adequate planned in-services related to cord blood collection and banking must established to develop nurses knowledge , attitude and practice
Cord Blood Banking: Antenatal Care Provider’s Roles and Responsibilities
Stem Cells International, 2019
Background. Umbilical Cord Blood (UCB) banking done either for private storage or for donation to public cord blood banks involves active participation of obstetricians. Counseling the expectant parents, providing them with unbiased and balanced information, and collecting the UCB with diligence confer a lot of social as well as moral responsibility upon obstetricians. This makes it even more important that the obstetricians in current practice stay well-informed and updated with UCB collection and its storage guidelines. The present study was conducted to assess the current status of obstetricians about UCB banking in terms of their awareness, attitude, and expectations from it. Materials and Methods. A cross-sectional study was conducted across three hospitals. A self-administered 22-item questionnaire was given to obstetricians to assess their awareness, attitude, and expectations about UCB banking. Finally, 154 completed questionnaires were analyzed using SPSS software (version ...
Blood transfusion = Trasfusione del sangue, 2012
Umbilical cord blood (UCB) is a source of stem cells for allogeneic haematopoietic transplantation in paediatric and adult patients with haematological malignancies and other indications. Voluntary donation is the basis for the success of unrelated UCB transplantation programmes. In the last few years a growing number of private banks offer their services to expectant parents, to store UCB for future use. The debate concerning UCB donation and private preservation has been ongoing for several years. The aims of this single centre study were to explore knowledge about UCB stem cells and attitudes towards voluntary UCB donation or private UCB preservation among both blood donors and pregnant women. This study was conducted at the "Sapienza" University of Rome. Two types of anonymous questionnaires were prepared: one type was administered to 1,000 blood donors while the other type was distributed to 300 pregnant women. Most blood donors as well as the majority of pregnant wom...
Majmaah Journal of Health Sciences, 2015
The contemporary evidenced based medical care has improved the quality of life by timely detection, proven therapeutic regimens and preventive measures. Along with the advancement of health sciences, there is an unmet need for the communication of medicine and biomedical research. The goal of our journal is to advance knowledge while improving the effectiveness of health care delivery, raise the social awareness of important health care issues and the translation of knowledge. The current issue of the MJHS presents a blend of quality articles covering topics in health sciences. We take this opportunity to thank all of those who have contributed to the issue, and those clinician and researcher who, often on short notice, were kind enough to provide informed and valuable opinions on the submitted manuscripts. All the articles in this issue were thoroughly refereed, and we particularly thank the unnamed referees for their careful and timely job. We hope our readers enjoy reading this issue of Majmaah Journal of Health Sciences and we look forward to receiving and publishing more high-quality scientific manuscripts.
PloS one, 2016
The concept of Umbilical Cord blood (UCB) stem cells is emerging as a non-invasive, efficacious alternative source of hematopoietic stem cells to treat a variety of blood and bone marrow diseases, blood cancers, metabolic disorders and immune deficiencies. Aim of the present study was to determine the level of awareness about banking UCB among pregnant women in India. We also assessed patient perception for banking of UCB and explored the patient expectations of banking UCB in future. This is the first study to assess current attitudes, in a sample population of potential donors from one of the largest potential UCB repository (India). Obtaining this information may help optimize recruitment efforts and improve patient education. Present explorative questionnaire based survey included 254 pregnant women in the final analysis. We established only 26.5% pregnant women in our study population knew what exactly is meant by UCB. A large proportion (55.1%) was undecided on whether they wa...
Cell and Tissue Banking
The donation of umbilical cord blood (UCB) to public banks is essential to increase the probability of finding compatible donors for hematopoietic stem cell transplants. Brazil is currently the third-largest country in number of registered bone marrow donors, but it is far behind in terms of UCB donation. Thus, this questionnaire-based study aimed to assess Brazilian pregnant women's awareness, knowledge, beliefs, and opinions about UCB banking in order to identify the causes of low donation rates. Sixty-one percent of the responders were aware of UCB banking, but 86.9% of those declared to know little or very little about it. Only 14% of pregnant women were asked whether they would like to store or donate UCB. Just 13% have made a decision, and more than half decided not to donate or store it, with the leading cause being lack of knowledge. Finally, 94% of the responders believe that women should be told about UCB banking by their doctor before the last trimester of pregnancy. In conclusion, this study demonstrated that Brazilian pregnant women have insufficient knowledge about UCB banking, which affects their decision regarding UCB donation, and they wish to be better informed about it by health professionals.
Potential blood donors umbilical and placental for stem cell collection: cross-sectional study
Journal of Nursing Ufpe Online, 2016
Objective: to identify mothers' ability to donate Umbilical cord blood for obtaining stem cells. Method: crosssectional study with analysis of 550 medical records of women who gave birth in a public hospital in 2014. The obstetric and neonatal data were collected in January and March 2015, from a form and analyzed using descriptive statistics. Results: maternal age at 18 was the most recurrent qualification criteria, followed by gestational age greater than 35 weeks. The presence of infectious process or disease during labor that might interfere with placental vitality was the criterion that most determined the disqualification of women for donation. Conclusion: according to the provisions of the Collegiate Board Resolution (RDC) No 56 of 16 December 2010, ANVISA, part of the school maternity patients would be able to blood donation Umbilical cord. Descriptors: Fetal Blood; Stem Cells; Maternal-Child Nursing; Obstetric Nursing. RESUMO Objetivo: identificar aptidão de parturiente...
Patients' knowledge of umbilical cord blood banking
The Journal of reproductive medicine, 2006
To determine patients' knowledge of umbilical cord blood banking (UCBB). A questionnaire was administered. Part 1 queried issues of familiarity with the term UCBB. Those patients with any awareness of UCBB were provided with part 2, asking more detailed questions that assessed knowledge. Four hundred twenty-five patients completed the survey; 37% had no knowledge of UCBB. Older patients and those with higher degrees of education were more aware of UCBB, and the greatest disparity of knowledge was noted among Native American patients (p < 0.001). Of patients indicating familiarity with UCBB, 2.6% felt "extremely knowledgeable," while 74% felt "minimally informed." Fifty percent of the patients were misinformed that UCBB was only for "the child that I will deliver." Seventy-one percent of patients were not planning UCBB, with "expense" and "insufficient knowledge" as the primary reasons cited. Only 14% of patients were educated ...