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Your Blood Test Explained: Why It Is Done, How It Works, and What Your Results Mean

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

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

Quick summary

{"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"}

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

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

Specimen: serum

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.

◆Associated findings1

Frequently asked questions

Does this test hurt my baby?
No, this test does not cause any pain to your baby. The blood sample is collected from the umbilical cord after it has been clamped and cut, using blood that would normally be discarded with the placenta. There is no needle or pain involved for the newborn.
Why do I need to know my baby's blood type?
Knowing your baby's blood type is important primarily for safety reasons. If your baby needs a blood transfusion after birth, doctors immediately know which blood type is safe to use. Additionally, if you are Rh-negative and your baby is Rh-positive, you will need Rh immunoglobulin injections to prevent complications in future pregnancies.
What happens if my baby is Rh-positive and I am Rh-negative?
If you are Rh-negative and your baby is Rh-positive, this is called Rh incompatibility. Your body may produce antibodies that could affect future pregnancies. To prevent this, your healthcare provider will recommend a Rh immunoglobulin injection (such as Rhogam) within 72 hours after delivery. This injection is a standard preventive treatment that has been used safely for decades.
Can cord blood typing detect all blood type problems?
The cord blood ABO and Rh test identifies the major blood type antigens that are most clinically important. However, there are many other minor blood group antigens that are not typically tested unless specific problems arise. If your doctor suspects other blood type-related issues, additional testing may be recommended.
What is hemolytic disease of the newborn (HDN)?
Hemolytic Disease of the Newborn (HDN) is a condition where the mother's antibodies attack the baby's red blood cells, causing anemia and other complications. This most commonly occurs when the mother and baby have incompatible ABO or Rh blood types. The cord blood test helps identify babies at risk so appropriate monitoring and treatment can be provided.
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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