SubPart 69-2 - Umbilical Cord Blood Testing

Effective Date: 
Wednesday, December 6, 1989
Doc Status: 
Complete
Statutory Authority: 
Public Health Law, Sections 2500-a & 2308

Section 69-2.1 - Definitions

Section 69-2.1 Definitions.

(a) Responsible Physician means the physician or other licensed health care provider named on the specimen collection form, the infant's primary health care provider, if different, or the hospital staff physician as designated by the chief executive officer and identified to the approved laboratory.

(b) Birth Attendant means the physician or licensed midwife who attends a nonhospital birth.

(c) Chief Executive Officer means the person who acts as the administrative officer of the institution and who is responsible to the licensed governing body for overall management of the institution providing birthing services.

(d) Responsible Institution means the hospital or diagnostic and treatment center providing birthing services.

(e) Approved Laboratory means a laboratory approved by the department, or in the city of New York by the department of health of such city, for the purpose as herein provided.

(f) Standard Serological Tests for Syphilis are tests generally recognized as such, as determined by the department, or in the city of New York by the department of health of such city. All blood samples shall be tested initially by a quantitative nontreponemal test; any specimen reactive in the nontreponemal test shall also have a treponemal test performed on the same sample.

(g) Satisfactory Specimen means a specimen received by the approved laboratory in a condition suitable for testing.
 

Effective Date: 
Wednesday, May 31, 2000
Doc Status: 
Complete

Section 69-2.2 - Cord blood test for syphilis

69-2.2 Cord blood test for syphilis. Every responsible physician or birth attendant shall acquire from all infants born, whether alive or dead after 22 weeks gestation, a sample of blood from the umbilical cord and submit it to an approved laboratory for standard serological tests for syphilis. If body blood from the mother is tested for syphilis at the time of birth, the cord blood test requirement shall be waived if the infant's body blood is tested after any positive test result of the mother's blood.
 

Effective Date: 
Wednesday, December 6, 1989
Doc Status: 
Complete

Section 69-2.3 - Responsibilities of the chief executive officer

69-2.3 Responsibilities of the chief executive officer. The chief executive officer shall ensure that (a) a satisfactory specimen is submitted to an approved laboratory for each infant born in the responsible institution;

(b) specimens shall be taken from the cord immediately after birth, or if a specimen is taken from the mother, the specimen shall be taken upon entry to the responsible institution for the purpose of delivery. Body blood taken from the infant in response to a positive syphilis serology in the mother must be drawn and submitted for testing within 24 hours of receipt of the mother's test result; and

(c) the date and time of cord blood or body blood collection and the test results of such specimens shall be recorded in the infant's permanent health record. The same information for the mother's blood shall be entered in the mother's permanent health record. Bloods submitted for testing must be marked clearly as cord, newborn, or mother/delivery in order to facilitate reporting to the local health unit within 24 hours of receipt of test results.
 

Effective Date: 
Wednesday, December 6, 1989
Doc Status: 
Complete

Section 69-2.4 - Responsbilities of the approved laboratory

69-2.4 Responsibilities of the approved laboratory. The approved laboratory shall report any positive results from cord, newborn, or mother's blood to the responsible physician or birth attendant and local health unit within 24 hours of completion of testing.

Effective Date: 
Wednesday, December 6, 1989
Doc Status: 
Complete

Section 69-2.5 - Duties of the responsible physician and birth attendant

69-2.5 Duties of the responsible physician and birth attendant. The responsible physician or birth attendant shall: (a) collect, label, submit specimens and assure that test results are recorded as specified in Sections 69-2.2, 69-2.3 (b) and 69-2.3(c) of this subpart unless the birth occurs in an institution in which the chief executive officer is responsible for these procedures under Section 69-2.3;

(b) report all positive test results from cord, newborn or mother's blood, in accordance with Sections 2.10 and 2.12 of this Title, to the local health unit within 24 hours of receiving the report from the approved laboratory;

(c) ascertain that both mother and infant are treated in accordance with appropriate therapy and that follow-up treatment is arranged, if syphilis is confirmed; and

(d) work in cooperation with designated public health investigators to assure that diagnosis, therapy, and any necessary follow-up testing meet current standards of care.
 

Effective Date: 
Wednesday, December 6, 1989
Doc Status: 
Complete