HELP SAVE A LIFE DONATE YOUR - University Hospitals of Leicester

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HELP SAVE A LIFE DONATE YOUR - University Hospitals of Leicester
HELP SAVE A LIFE
DONATE YOUR
CORD BLOOD

      University Hospitals of Leicester
HELP SAVE A LIFE DONATE YOUR - University Hospitals of Leicester
Anthony Nolan                                              HOW DO I TAKE PART?
                                                           Please follow these simple steps:

Cord Blood
                                                           1 Peel off the attached Pre-Consent                        PRE-CONSENT
                                                           sticker and stick this to the front of                     Anthony Nolan
                                                           your medical notes. This helps us to                       Cord Blood

Donation
                                                           identify you as a cord donor when
                                                           you come on to the maternity ward.
                                                                                                                      Donation
                                                                                                                      PROGRAMME
                                                           2 Complete and return the attached
                                                           form on this leaflet. Alternatively

Programme
                                                           you can fill in our online form at
                                                           www.anthonynolan.org/cordblood
                                                           3 If you want to ask further questions             Please peel off and stick to the
                                                           before completing the form please                  front of your medical notes.
Did you know that following the safe birth of your baby,   call us on 0303 303 0303.
you could save a person’s life just by donating your       Once we receive your completed form we will contact you to discuss any questions
umbilical cord? The blood from your placenta and           you may have. We’ll then arrange an appointment for your formal consent. The sticker
                                                           on this leaflet gives you the option of ‘pre-consent’. If you stick it on the front of your
cord is rich in stem cells. We can use these in            medical notes, it shows you intend to donate. Ideally we will arrange a meeting to take
                                                           your formal consent before your labour starts. If this isn’t possible, the sticker on your
stem cell transplants to help people suffering             notes gives us permission to collect your baby’s cord blood. We’d then take your formal
from leukaemia and serious blood disorders.                consent after your baby’s birth.
For someone who needs a transplant, it’s
often their last chance at life.
The stem cells in cord blood have the
potential to save countless lives.
Anthony Nolan’s cord blood
programme is a pioneering initiative
to collect and bank stem cells from
donated umbilical cords.

Caitlin received her lifesaving cord blood donation
through the work of Anthony Nolan.                               Freepost Plus RSJZ-CRCR-LYKE
                                                                 Anthony Nolan Cord Collection UHL
Anthony Nolan finds matches for leukaemia patients               Maternity Unit
who need a lifesaving transplant. For someone with               Leicester General Hospital
leukaemia, a bone marrow transplant can be their                 Gwendolen Road
only hope of life. We use our register, cord blood
                                                                 LEICESTER
bank and research to find remarkable people who
can give them that hope by donating their stem cells.            LE5 4PW
By doing this, we save lives. Every day.
HELP SAVE A LIFE DONATE YOUR - University Hospitals of Leicester
WHAT IS CORD BLOOD?
It’s the blood that remains in your placenta and umbilical cord. After you      Sorrel had leukaemia but because someone
give birth, your umbilical cord is clamped. With the placenta, it’s normally    donated their cord blood, she got the lifesaving
thrown away as clinical waste. As it’s rich in stem cells, saving more cord     transplant she urgently needed. She’s full
blood means saving more lives. To do this, we need your help.                   of energy, and loves swimming and PE.
                                                                                She leads a full and active life at school.
WHY IS CORD BLOOD IMPORTANT?
Currently, there are 16,000 people who desperately need a lifesaving stem
cell transplant, but can’t find a match. As the stem cells in your cord blood
could be used for transplants, your donation may one day save a life. Called    ARE THERE ANY RISKS?
cord blood transplantation, it’s an alternative to bone marrow transplants.
The advantage is that that they are immediately available. Time is often        Collecting your baby’s cord blood is a risk free,
a crucial factor for a person who needs a stem cell transplant, so it could     painless procedure which does not interfere in any
mean the difference between life and death. We especially need donations        way with you giving birth. The safety of you and your
from non-Caucasian communities as we’re more likely to find a match             baby takes priority over all other considerations.
amongst people who share the same ethnic background.                            After giving birth, we will need to take a maternal blood
                                                                                sample from you (not your baby). It may result in slight
WHAT HAPPENS WHEN I DONATE                                                      discomfort, bruising or possibly fainting.
MY CORD BLOOD?
                                                                                WHAT ARE THE BENEFITS?
Donating your cord blood is a risk free procedure. Once your baby has
been safely delivered, the umbilical cord will be clamped as normal.            • The immense satisfaction of knowing that your umbilical cord donation
Then the cord and placenta will be passed to one of our                         could help save someone’s life. If it isn’t used in a transplant, it could be
dedicated collecting staff. They’ll take it to a separate                       used for essential stem cell research into helping a much wider variety
room to extract the blood from the cord.                                        of conditions including diabetes and Alzheimers.
Be assured – the procedure does not                                             • If one of your family needs a transplant in the future and your baby’s
interfere with the safe birth of your baby                                      cord blood is still available, it could provide a match. However, there are
in any way. Following your donation                                             no guarantees for this.
we will need to take a maternal blood
sample from you.                                                                WHAT HAPPENS TO THE CORD BLOOD?
                                                                                After collection, we process it to make sure it can be used for a transplant.
                                                                                Approximately half of the units we collect will be suitable. We then store
                                                                                these until needed by a patient.
                                                                                Sometimes, donated cords are not usable for transplant. For example,
                                                                                if the amount of blood collected is too small. If it isn’t suitable, we’ll dispose
Winifred donated her cord blood                                                 of it as clinical waste or use it in research approved by an appropriate
when she gave birth to her daughter                                             Ethics Committee. If used for research, your identity or you baby’s, will
Sophie. As we’re also researching                                               not be known.
stem cell cures for a wider range
                                                                                By joining this programme you are agreeing to allow us to use the donation
of conditions, she could end up
                                                                                for research if it doesn’t meet our standards for clinical use. Using your
helping a lot more people.
                                                                                baby’s cord blood for research still means your donation could help towards
                                                                                saving lives.
HELP SAVE A LIFE DONATE YOUR - University Hospitals of Leicester
Anthony Nolan researchers and others are trying to analyse the different
cellular components in cord blood to be used as an immune or stem cell                          PRE-CONSENT FORM
source. Stem cells have regenerative properties. Research undertaken at our                     Remember donating your cord costs you nothing
research institute and by others, will allow us to see if we can create new
therapies for other conditions such as stroke, heart attacks and brain injury.                  but could help save a life.
The cord blood will not be cloned.                                                              If you’re interested in donating your cord blood, please complete this form
                                                                                                and return it to us (no stamp required). On receipt we will contact you to
We cannot guarantee that your cord blood will be collected and stored.                          discuss your consent and answer any questions that you might have.
This may be because an accredited collector is unavailable or other situations
arise during labour, which make the collection inappropriate.                                   Please print clearly

                                                                                                Name
DO I HAVE TO TAKE PART?
                                                                                                Your Date of Birth
No. Your participation is completely voluntary. You will not receive any
financial reward for the donation.                                                              House number and Street

WHY DO I NEED TO CONSENT?                                                                       Town					                                               Postcode

Consent is central in all forms of healthcare and tissue donation in the EU,                    Home Tel		 Mobile
and a legal requirement of cord blood collection. Without your consent we
cannot process your cord and it will be thrown away.                                            Email

                                                                                                Maternity Hospital
WILL MY TAKING PART BE CONFIDENTIAL?
                                                                                                Hospital No                   		 Your baby’s due date
Yes. Authorised personnel from this hospital and from
Anthony Nolan may look at parts of your or your baby’s
                                                                                                Please tick as appropriate
medical records and the data collected. But they will
not disclose any details outside the programme.                                                    I have attached my pre-consent sticker to my notes. I would like you
                                                                                                   to contact me to arrange an appointment so that I can consent to
WILL THIS COST ME ANYTHING?                                                                        donate my baby’s cord blood.
No.                                                                                                I would like to receive more information before I decide to donate
                                                                                                   and I am happy for you to telephone me.
WHAT IF I HAVE ANY FURTHER

                                                                                 moisten here

                                                                                                                                                                              moisten here
                                                                                                IMPORTANT: You should not offer to donate your cord blood if you are under
QUESTIONS?                                                                                      17 years of age or if you have ever knowingly:
                                                                                                • injected drugs for non-medical reasons
Discuss them with your midwife/doctor                                                           • received money or drugs in exchange for sex
                                                                                                • been diagnosed with HIV, hepatitis B or hepatitis C
Please call us on 0303 303 0303 or visit our
website www.anthonynolan.org/cordblood                                                          In the last 12 months you have had sex knowingly with:
                                                                                                • a partner who has had sex with someone in exchange for money or drugs
                                                                                                • a partner who injects drugs for non-medical reasons
                                                                                                • a partner who has been diagnosed with HIV, hepatitis B or hepatitis C
Kate was one of the first mothers to donate                                                     • a man who has had sex with another man
her cord blood and now is about to donate a
                                                                                                         I agree to Anthony Nolan and its NHS Trust partners holding
second time. “It’s wonderful to be able to help                                                          my personal details in their donor database and processing
others who aren’t fortunate enough to be as                                                              this information as necessary for the proper administration
healthy as me and my family. It’s something                                                              of Anthony Nolan. All personal information will be handled
that every pregnant woman should consider.”                                                              in accordance with the Data Protection Act 1998.

                                                                                                                                 moisten here
HELP SAVE A LIFE DONATE YOUR - University Hospitals of Leicester
‘IT’S AMAZING.
YOU’RE CREATING
LIFE AND HELPING
SAVE LIVES.’
Kate, cord blood donor

                         2-3 Heathgate Place
                         London NW3 2NU
                                                Photo: Nick David
                         0303 303 0303          Registered charity no
                                                803716/SC038827
                         www.anthonynolan.org   OP-COR03/0710/2500
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