Singapore Cord Blood Bank services, but retain ownership over the use of their cord blood. Cord blood is the blood that circulates through the umbilical cord from the foetus to the placenta. After delivery, the placenta is almost always thrown away. Yet this humble umbilical cord has become a life saving and precious commodity, because cord blood is rich in blood stem cells. Blood stem cells are young or immature cells that can transform into other forms of essential blood cell types (pluripotent), such as red blood cells, white blood cells and platelets. The use of blood stem cells has emerged as a potentially
Nuchal cord an improvement in outcomes where cord entanglement was prenatally identified in these cases. Ultrasound measurement of the velocity of flow in the cord may be useful in the management of twins and chronically growth-retarded fetuses. Of course this depends on the training of the sonographer. To date there are no ultrasound courses which teach the identification of nuchal cord to physicians or technicians. A recent review by Wilson of the American Academy of Ultrasonography Technicians recommends the documentation of umbilical cord issues. Management of a presenting nuchal cord should be tailored to prevent umbilical cord compression whenever possible. Techniques to