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Kleihauer,Fetal Hgb Stain
MessageThis testing should be used when the case is initiated from an OB patient who has experienced some sort of trauma. Examples: fall, automobile accident, trauma to the stomach, etc.
The root cause of this order must be documented.
Test Code
KLEI
Alias/See Also
Fetal Stain
CPT Codes
85460
Preferred Specimen
WHOLE BLOOD, EDTA
Minimum Volume
250 uL microtainer or 1 ml lavender top tube
Transport Container
LAV/1
Transport Temperature
Room Temp, or 2-8 degrees C
Specimen Stability
48 hours at 4-8 degrees C; 24 hours at Room Temp
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimens with clots, fibrin strands, platelet clumps, hemolyzed samples, samples drawn above a line
Methodology
Manual with Acid Elution technique
Setup Schedule
Daily on Receipt
Report Available
Upon Completion of Analysis
Limitations
lipemia, icterus, cold agglutinin
Reference Range
Normal = 0.000%
>1.000% denotes a critical value
Clinical Significance
The level of fetal cells in maternal circulation is an important support in the obstetrical management of women with suspected uterine trauma and in the proper dose administration of anti-D for prevention of Rh hemolytic disease of the newborn.