placenta disposal -Reply

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From:TSgt Charles Embrey <cembrey@MEDCENOA.WPAFB.AF.MIL>
Date:Wed, 28 Apr 1999 08:44:10 -0400

Brian,  I would just stick the placentas into a zip lock bag and refridgerate
for the two days.  The refridgerator does less damage to the cells than
the freezer would.  After two days throw them out as you would have
after the birth or freeze them for bulk disposial.
Charles R. Embrey Jr., HT(ASCP), PA(AAPA)
Pathologist's Assistant
Wright-Patterson Medical Center Ohio
P.S. Joe Nacito- Send me an e-mail so I can have your address.
>>> <> 04/27/99 04:01pm >>>
     I need some ideas as to how different hospital Histology labs are 
disposing of their placentas. In the old days this was not a problem
they were not retained at all but went out with the trash with the other
material at birth. Our L&D supervisor wants us to keep all placentas at
two days after delivery in case of infant distress. This means that we
to provide an 86oz.bucket and formalin for each delivery. The buckets run
ea., the formalin to cover =about $4.50 per bucket,the neutralizer for 
formalin is about $25 (to treat a carbouy). Then it takes tech time and 
exposure to dump the placentas for weekly pick-up by a waste
run on generators of 25# of waste per week). This adds up to hundreds
of $ 
per month and thousands per year for a non revenue generating function.
have heard that some hospitals use ziplock baggies with no fixative and 
freeze the placentas. Then they can be picked up every 90 days. In the
20 years we have had to go back and look at 2 placentas in this manor.
course, if the OB-Gyn Dr. sees anything suspicious at delivery,
stains,abruption etc, it is processed as a routine surgical. I hope that I 
can get some feedback as to your proceedures , or some insight as to
you retain placentas at all.                                            

 Thanks in advance,
Brian Fischer
Histology Sup.
Community Hosp. of the Monterey Peninsula (CHOMP)
PObox HH 

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