Your Blood Test Explained: Why It Is Done, How It Works, and What Your Results Mean
This test determines your baby's blood type (ABO and Rh) from the umbilical cord blood right after birth.
{"The test identifies your baby's ABO blood type (A, B, AB, or O) and Rh status (positive or negative)","Results help doctors prepare for safe blood transfusions if needed","This test is especially important if the mother is Rh-negative to prevent complications","The test is performed using blood from the umbilical cord after birth","No risks to the mother or baby as the blood is collected after the cord is cut"}
Key facts at a glance
- LOINC
- 93949-6
- Short code
- ABORH_CORD
- Synonyms
- ABO + Rh Pnl BldCo
- Category
- chemistry
- Sample
- serum
- Container
- EDTA tube (lavender/purple top) or dedicated blood bank collection tube
- Units
- N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 0–28 years
- Method
- Serological testing (tube agglutination or gel column method)
- CPT
- 86900 (ABO group), 86901 (Rh type)
- SNOMED
- 365679006 (blood typing), 112144000 (ABO blood group)
- 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
- 500
- Lipemia max
- 1000
- Icterus max
- 500
- TAT
- 2–24 hours
- Order
- routine
This test is a laboratory analysis, usually performed on a small sample of your blood, that helps your healthcare provider evaluate how well your body is functioning and look for early signs of illness, even before symptoms appear.
The Cord Blood ABO and Rh Group Test is a laboratory test performed on blood collected from the umbilical cord immediately after a baby is born. This blood, called cord blood, is analyzed to determine the baby's blood type according to two important systems: the ABO system (which identifies whether the blood is type A, B, AB, or O) and the Rh system (which identifies whether it is Rh-positive or Rh-negative). The test is quick, safe, and uses blood that would normally be discarded after the umbilical cord is clamped and cut.
This test is important because it gives your care team objective information about your health. It can help confirm or rule out a condition, monitor an ongoing problem, check how a treatment is working, or guide safe decisions about your ongoing care.
Knowing your baby's blood type is important for several medical reasons. First, if the baby needs a blood transfusion shortly after birth (such as for jaundice or anemia), doctors will immediately know which blood type is safe to use. Second, this test is crucial for detecting potential blood type incompatibilities between the mother and baby, particularly Rh incompatibility. When a mother is Rh-negative and her baby is Rh-positive, the mother's immune system may produce antibodies that could affect future pregnancies. Identifying this early helps healthcare providers take preventive measures with Rh immunoglobulin injections.
The test is performed by drawing a small sample of blood, typically from a vein in your arm. A trained professional cleans the site, inserts a thin needle, collects the sample into a tube, and applies brief pressure afterward. The sample is then sent to a laboratory, and the procedure usually takes only a few minutes.
After your baby is born and the umbilical cord is clamped and cut, a healthcare provider collects a small sample of blood from the cord that remains attached to the placenta. This sample is then sent to the laboratory for analysis. The test involves mixing the cord blood with special reagents to determine how it reacts with different blood type antibodies, which reveals the baby's exact ABO blood type and Rh status. The procedure is completely painless for both mother and baby and does not interfere with the birth process.
Your results are compared with standard reference ranges. Values within the normal range generally suggest that the area being tested is working as expected, while values that are too high or too low may point to a condition that needs follow-up. Your provider will explain your specific numbers and whether any additional testing or treatment is recommended.
The test results will show your baby's blood type as a combination of ABO type and Rh status. For example, your baby might be A-positive, O-negative, AB-positive, or any other combination. If your baby is Rh-positive and you are Rh-negative, your healthcare provider will discuss Rh immunoglobulin (Rhogam) injections to prevent complications in future pregnancies. The results are typically available within a few hours and will be recorded in your baby's medical chart for future reference.
Reference range
ABO group: A, B, AB, or O; Rh factor: Rh(D) positive or Rh(D) negative. Result should be interpreted in context of maternal blood type and clinical history.N/A
No fasting required. Cord blood sample is collected at the time of delivery from the umbilical cord vein after clamping and before delivery of the placenta.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
The Cord Blood ABO and Rh Group Test is clinically significant for several key reasons. It enables rapid blood type identification in case emergency blood transfusions are needed for the newborn, such as in cases of severe jaundice (hyperbilirubinemia) or hemolytic disease of the newborn (HDN). The test is essential for screening Rh incompatibility between mother and baby, which can lead to hemolytic disease in subsequent pregnancies if left untreated. Additionally, knowing the baby's blood type helps in the diagnosis and management of various neonatal conditions and ensures safe transfusion practices from the moment of birth.
Frequently asked questions
Does this test hurt my baby?
Why do I need to know my baby's blood type?
What happens if my baby is Rh-positive and I am Rh-negative?
Can cord blood typing detect all blood type problems?
What is hemolytic disease of the newborn (HDN)?
Sources
- 1
- 2
- 3MedlinePlus - Blood TypeSource
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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