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Understanding Your Laboratory Test: What It Is, Why It Matters, and How to Interpret Your Results

Published: August 9, 2026Updated: August 16, 2026

This test determines your baby's blood type (ABO group) and Rh factor from the umbilical cord blood immediately after birth.

Quick summary

{"The test identifies your baby's ABO blood type (A, B, AB, or O) and Rh factor (positive or negative)","It helps doctors check for potential blood type incompatibility between mother and baby","Results are used to prevent complications like jaundice or hemolytic disease in newborns","The test is performed on blood collected from the umbilical cord after birth","If the mother is Rh-negative, additional Rh immunoglobulin may be needed"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
34474-7
Short code
ABO/Rh Cord
Synonyms
ABO + Rh BldCo
Category
chemistry
Sample
whole-blood
Container
EDTA tube (lavender/purple top) or dedicated cord blood collection tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
0–0 years
Method
Serological typing using tube agglutination or gel column methodology
CPT
86900
SNOMED
365589006
Specimen volume
2-5 mL cord blood
Stability
Room temperature: 72 hours; Refrigerated (2-8°C): 7 days. Test within 48-72 hours preferred for optimal results.
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
1–24 hours
Order
routine

This is a medical laboratory test that measures specific substances in a sample of your blood, urine, or other body tissue. Your healthcare provider orders it to check how well your organs are working, to screen for certain conditions, or to monitor a treatment plan you may already be following.

The Cord Blood Type Test, also known as ABO and Rh grouping, is a blood test performed on blood taken from the umbilical cord shortly after your baby is born. This test determines two important things: (1) your baby's ABO blood type (A, B, AB, or O), and (2) whether your baby is Rh-positive or Rh-negative. The umbilical cord connects the baby to the placenta during pregnancy and contains blood that can be safely collected after the cord is cut, without causing any harm to mother or baby.

This test is important because it gives your care team objective information about your health that cannot always be seen during a physical exam. The results can help detect problems early, confirm or rule out a suspected condition, and guide important decisions about medications, lifestyle changes, or additional testing.

Knowing your baby's blood type is important for several reasons. First, it helps healthcare providers monitor for blood type incompatibility between the mother and baby, which can sometimes cause jaundice or more serious conditions like hemolytic disease of the newborn. Second, if the mother is Rh-negative and the baby is Rh-positive, the mother may need Rh immunoglobulin (Rhogam) injection to prevent complications in future pregnancies. Third, knowing the baby's blood type can be helpful for medical emergencies where a blood transfusion might be needed.

The test is usually done by collecting a small sample, most often blood drawn from a vein in your arm with a thin needle, although some tests use a urine sample or a simple finger stick. The collection typically takes only a few minutes, and your sample is then sent to a laboratory where trained technicians analyze it and report the findings.

After your baby is born and the umbilical cord is clamped and cut, a healthcare provider will collect a small sample of blood from the cord vein using a needle and syringe. This is a completely safe procedure that does not cause any pain to the baby or interfere with the birth process. The blood sample is then sent to the laboratory where it is tested to determine the ABO group and Rh type. The results are usually available within a day or two.

Your results are compared against a standard reference range, and values outside that range may point to a condition that needs attention or may simply reflect normal variation for your body. Always review the report with your healthcare provider, who can explain what the numbers mean for your overall health and determine whether any follow-up care is needed.

Your baby's blood type will be reported as one of: A, B, AB, or O, along with either Rh-positive or Rh-negative. For example, a baby might have blood type A positive (A+), O negative (O-), or any other combination. The ABO and Rh types are inherited from the parents and determine which blood type the baby has. Your healthcare provider will explain the results to you and discuss any follow-up care that may be needed based on the findings.

Reference range

ABO Group: A, B, AB, or O; Rh Type: Positive or Negative. Results are qualitative, not quantitative.N/A

Specimen: whole-blood

No fasting required. Collection should be performed immediately after birth from the umbilical cord prior to or immediately following cord clamping.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

The cord blood type test is clinically significant for detecting ABO and Rh incompatibility between mother and baby. Rh incompatibility can lead to hemolytic disease of the newborn (HDN), a condition where the mother's immune system attacks the baby's red blood cells. This is more likely to occur when an Rh-negative mother has an Rh-positive baby. Early detection through cord blood testing allows healthcare providers to monitor and treat jaundice or other complications promptly. Additionally, if a mother is Rh-negative, knowing the baby's Rh status helps determine whether Rh immunoglobulin prophylaxis is needed to protect future pregnancies.

Frequently asked questions

Does the cord blood test hurt my baby?
No, the cord blood is collected after the umbilical cord is clamped and cut, so there is no pain or discomfort for your baby. The blood is taken from the cord that is no longer attached to the baby.
What if my baby and I have different blood types?
Having different blood types is common and usually not a problem. However, if you are Rh-negative and your baby is Rh-positive, your healthcare provider may recommend Rh immunoglobulin (Rhogam) injection to prevent complications in future pregnancies. Your doctor will discuss this with you if needed.
Do I need to do anything special after the test?
No special care is needed after the cord blood test. It is a routine test that happens automatically in most hospitals. Your healthcare provider will inform you of the results and explain any follow-up care if necessary.
What is hemolytic disease of the newborn (HDN)?
HDN is a condition where the mother's antibodies cross the placenta and attack the baby's red blood cells, causing anemia and other complications. This is more common with Rh incompatibility but can also occur with certain ABO combinations. The cord blood type test helps identify babies at risk so they can be monitored and treated appropriately.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy