When you donate cord blood to a public bank, once processed it is immediately part of the Registry and available to any patient in need of a transplant. There is no cost to you to donate your baby’s cord blood to a public bank.
When you store your baby’s cord blood in a private cord blood bank, you pay collection and ongoing storage fees and it is reserved for your use only. The BWH Cord Blood Donation Program does not facilitate private cord blood banking.
While the choice to donate your baby’s cord blood is ultimately a personal decision, public donation is increasingly advocated by experts:
American Academy of Pediatrics (AAP) issued recommendations in 2007 encouraging parents to donate to public cord blood banks and discouraging them from using private cord blood banks (unless they have an older child that could benefit from a cord blood transplantation);
Parents should not bank their newborn's umbilical cord blood in a private bank unless another member of the family is at risk for a blood disease that will require a stem cell transplant, according to physicians surveyed for a study led by Dana-Farber.
Cord blood banked in a public program may not be available for future private use. Most conditions that might be helped by cord blood stem cells already exist in the infant’s cord blood (i.e., premalignant changes in stem cells).
The Children’s Hospital of Boston has never used an autologous (banked for self) cord blood unit in transplantation.