Why Parents Should Save Baby’s Cord Blood and Give It Away
Learn why donating your baby's cord blood to public banks offers lifesaving potential for others.

Why Parents Should Save Their Baby’s Cord Blood and Give It Away
When a baby is born, the umbilical cord connecting mother and child contains a valuable biological resource that has the potential to save lives and advance medical science. Cord blood banking has emerged as an important healthcare decision that expectant parents should consider well before delivery. Unlike many medical choices that involve complex trade-offs, the recommendation from leading medical institutions is remarkably clear: parents should save their baby’s cord blood by donating it to a public cord blood bank rather than storing it privately for their own use.
This approach balances practical considerations with the opportunity to contribute to medical research and help patients in immediate need of life-saving treatments. Understanding the science behind cord blood, the different banking options available, and the reasons medical experts recommend public donation can help parents make an informed decision that aligns with both their values and medical evidence.
Understanding Cord Blood and Its Therapeutic Potential
Cord blood is the blood remaining in the umbilical cord and placenta after a baby is born and the cord is clamped and cut. This biological material contains remarkably potent cells called hematopoietic stem cells, which have the extraordinary capacity to develop into any type of blood cell in the body. These cells can transform into red blood cells, white blood cells, platelets, and various immune system components, making them invaluable for medical treatment and research.
The therapeutic applications of cord blood stem cells continue to expand as medical science advances. Currently established treatments include management of blood disorders such as leukemia, Hodgkin disease, and certain forms of anemia. Beyond blood cancers, cord blood stem cells can treat inherited metabolic disorders, immune system deficiencies, and other life-threatening conditions. Researchers are actively investigating whether stem cell therapy derived from cord blood might eventually treat neurological injuries, including birth-related brain injuries that cause cerebral palsy and other developmental conditions.
One promising area of research involves treating spastic cerebral palsy with stem cell therapy. A recent placebo-controlled phase two clinical trial demonstrated that children receiving intravenous doses of stem cells showed measurable improvements in motor function that exceeded typical developmental progress for children with similar conditions. While a cure for cerebral palsy remains elusive, these findings demonstrate the genuine therapeutic potential that cord blood banking represents for current and future medical challenges.
The Collection and Storage Process
The cord blood collection process is straightforward, painless, and poses no risk to mother or baby. After delivery and once the umbilical cord has been clamped in two places approximately ten inches apart and severed from both mother and infant, a medical professional inserts a needle to collect approximately 40 milliliters or more of blood from the cord itself. The collected blood is then sealed in a sterile container and transported to a cord blood bank for processing and long-term storage.
The timing of this collection is important—it must occur shortly after birth but before the placenta is delivered. Parents who are interested in cord banking should discuss this option with their healthcare provider well in advance of delivery to ensure the necessary arrangements are in place and the medical team is prepared to perform the collection.
Once collected, cord blood undergoes rigorous testing and processing to ensure safety and viability. All cord blood banks must comply with FDA regulations designed to prevent contamination and eliminate the risk of transmitting infectious diseases. The FDA maintains a searchable database where patients and healthcare providers can review the regulatory status and accreditation of individual cord blood banks, providing transparency and accountability in this growing industry.
Public Versus Private Cord Blood Banking
Parents have three primary options for cord blood banking, each with distinct characteristics and considerations:
Public Cord Blood Banks
Public cord blood banks collect and store cord blood at no cost to families. The stored cord blood becomes available to any patient in need of a stem cell transplant, whether that need arises immediately or years in the future. Public banks serve patients matched through registries, making cord blood available to unrelated children and adults across different genetic backgrounds. Since cord blood stem cells do not require as close a tissue match as bone marrow donations, this increases the likelihood that stored cord blood will be usable for a compatible patient. By donating to a public bank, parents contribute directly to a shared medical resource that serves the broader community.
Private Cord Blood Banks
Private or family cord blood banks store cord blood specifically for the donor child or their biological relatives. Parents typically pay collection fees ranging from several hundred to over one thousand dollars, plus annual storage fees. The primary marketing appeal of private banks emphasizes “biological insurance”—the theoretical possibility that the banked cord blood might someday be needed to treat the child who donated it or a sibling.
However, medical research reveals a critical limitation of this approach. According to the American Society for Blood and Marrow Transplantation, the probability that a family will actually use privately banked cord blood is less than 0.04 percent. Studies of transplant physicians documented only nine cases in which children subsequently used their own privately banked cord blood for treatment, despite thousands of families paying for private storage. In most cases, privately banked cord blood simply remains frozen indefinitely, never fulfilling its therapeutic potential.
Direct-Donation Banks
Direct-donation banks represent a hybrid model that stores cord blood designated for public use while also accepting family-reserved donations. These banks combine elements of both public and private banking, offering flexibility for families with specific medical considerations.
Making the Right Choice for Your Family
The decision between banking options should primarily depend on whether your family has specific medical risk factors. Medical experts recommend private cord blood banking only for families with a documented history of genetic disorders, metabolic diseases, or blood cancers that can be treated with stem cell therapy. If a family member currently has or is at significant inherited risk for such a condition, private banking may provide genuine clinical value and could even qualify for reduced fees or free storage.
For the vast majority of families without such specific medical histories, the evidence strongly supports donating cord blood to a public bank. The mathematical reality is compelling: your child’s privately banked cord blood has less than a one in two thousand chance of ever being used, while donated cord blood provides immediate benefit to patients in current need and contributes to advancing medical research that may help countless future patients.
Cost Considerations
Public cord blood banking is completely free, requiring no out-of-pocket expense to families. By contrast, private banking involves both initial collection and processing fees (typically $300-$2,300) and annual storage fees (usually $100-$300 per year). Over twenty years of storage, private banking can cost several thousand dollars for a resource that statistics suggest will never be used.
The Ethical Advantage of Cord Blood Banking
An often-overlooked benefit of cord blood banking is its ethical clarity compared to other stem cell sources. Much of the historical debate surrounding stem cell research has involved controversial questions about the source material and how it was obtained. Cord blood, by contrast, is collected from biological material—the umbilical cord and placenta—that would otherwise be discarded as medical waste.
This characteristic makes cord blood an uncontroversial and ethically straightforward source for both therapeutic treatment and medical research. Families can support important medical advances and potentially lifesaving treatments without engaging with the ethical complexities that have historically surrounded stem cell science. The collection process is painless, poses no medical risk, and involves obtaining material that has no other use.
Why Cord Blood Banking Matters Now
The timing of cord blood banking decisions carries significant weight. Medical registries and cord blood banks require sufficient inventory to serve patients who need transplants today, not just in the hypothetical future. When more families donate cord blood to public banks, several beneficial effects compound:
- More patients currently awaiting treatment can find compatible cord blood matches
- Researchers have greater access to samples needed for studying new therapeutic applications
- The diversity of cord blood samples in public registries increases, improving matching success for patients from underrepresented populations
- Medical science accelerates toward discovering new treatments and refining existing ones
The collective impact of individual decisions to donate cord blood creates measurable improvements in the capacity of medical systems to save lives and advance knowledge. This represents a rare healthcare scenario where an individual family’s choice directly contributes to immediate, tangible benefits for other patients while also supporting long-term medical progress.
Practical Steps for Parents
Parents interested in donating their baby’s cord blood should take these steps:
- Discuss cord blood banking with your obstetrician or midwife during pregnancy
- Research public cord blood banks accepting donations in your geographic area
- Verify that your delivery hospital can facilitate cord blood collection
- Complete any necessary enrollment or paperwork before labor begins
- Inform your delivery team on your birth plan that you intend to donate cord blood
By planning ahead, parents ensure that the collection process can proceed smoothly immediately after delivery without adding stress or complications to an already busy time.
Addressing Common Questions
Q: Does cord blood collection harm the baby or mother?
A: No. Collection occurs after the umbilical cord has been clamped and separated from both mother and baby. The procedure is completely painless and poses no medical risk to either parent.
Q: What if my delivery hospital cannot collect cord blood?
A: Not all hospitals have established relationships with cord blood banks. If your preferred hospital cannot facilitate collection, ask about alternative facilities, discuss options with your healthcare provider, or consider changing delivery locations if cord blood banking is important to you.
Q: How long can cord blood be stored?
A: Cord blood can be cryopreserved indefinitely, with some samples remaining viable after decades of storage. Current evidence suggests that properly stored cord blood maintains therapeutic viability throughout foreseeable timeframes.
Q: What happens to donated cord blood?
A: Donated cord blood enters a registry where it becomes available to patients worldwide who need stem cell transplants. Your cord blood may be used for treating a patient with leukemia, lymphoma, metabolic disease, or other qualifying conditions, or it may support medical research advancing new treatments.
Q: If I have a family history of blood disorders, should I bank privately?
A: If you have a family history of specific genetic, metabolic, or blood disorders treatable with stem cells, discuss private banking options with your healthcare provider. You may qualify for free or reduced-cost storage given the potential medical benefit.
The Future of Cord Blood Medicine
As research continues and new therapeutic applications emerge, the value of cord blood repositories will only increase. Current clinical uses represent just the beginning of what stem cell therapy may accomplish. Expanding cord blood banking through public donation today ensures that future patients will have access to the cellular resources they need.
The decision to donate your baby’s cord blood represents a meaningful opportunity to contribute to medical progress while respecting both practical realities and ethical principles. For most families, this choice aligns with medical evidence, costs nothing, and offers genuine potential to help patients in immediate need while supporting the advancement of medical science.
References
- Cord Blood Banking: Why Is It Necessary Today? — Brown Trial Firm. Accessed 2025. https://browntrialfirm.com/cerebral-palsy-lawyer/cord-blood-banking/
- Cord Blood Testing and Banking: MedlinePlus Medical Test — National Library of Medicine. 2024. https://medlineplus.gov/lab-tests/cord-blood-testing-and-banking/
- Banking of Umbilical Cord Blood Has Little Physician Support — Harvard Gazette. 2009. https://news.harvard.edu/gazette/story/2009/03/banking-of-umbilical-cord-blood-has-little-physician-support/
- Value of Umbilical Cord Blood Cells — Brigham and Women’s Hospital. Accessed 2025. https://www.brighamandwomens.org/obgyn/cord-blood-donation/value-of-umbilical-cord-blood-cells
- Cord Blood Banking – Health Library — Brigham and Women’s Hospital. Accessed 2025. https://healthlibrary.brighamandwomens.org/Conditions/Pregnancy/Labor/LaborDelivery/160,48
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