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Contradictions of value: Between use and exchange in cord blood bioeconomy

机译：价值矛盾：脐带血生物经济的使用与交换之间

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Umbilical cord blood (CB) has become established as an increasingly viable clinical alternative to bone marrow in the treatment of leukaemia leading to the construction of a global network of CB banks promoted through a moral ethos of gift. Additionally, some banks offer the opportunity to retain stem cells privately. CB is discursively presented as clinical 'waste', a 'by-product' of birthing. In this way CB units are made available to a global exchange-based bioeconomy. Crucially, CB collection has developed in parallel with several necessary obstetric practices, especially the immediate clamping of the cord following delivery, essential to high volume collection. However, this article strongly suggests the promotional basis of CB banking (such as by gift, waste or donation) is in tension with the growing preference of new parents to delay cord clamping. Based on focus groups with expectant parents, the promotion of CB banking can in fact be seen to feed into critical reflection on the value of CB for newborn infants, potentially reinvigorating a tradition of delayed umbilical cord clamping. Theoretically, these contradictory systems of valuing are conceptualised through recent literature on bioeconomy and Marx's writings on the contrasting tensions between use and exchange value.
机译：脐带血（CB）已被确立为治疗白血病的一种越来越可行的临床替代品，从而导致通过礼品的道德精神促进全球CB银行网络的建设。此外，一些银行还提供了私下保留干细胞的机会。 CB被有争议地表示为临床的“废物”，即分娩的“副产品”。这样，可转债单位就可以用于基于全球交易所的生物经济。至关重要的是，CB收集与几种必要的产科实践同时进行，特别是在分娩后立即夹紧软线，这对于大量收集至关重要。但是，本文强烈建议，随着新父母越来越倾向于延迟绑扎脐带，CB银行的促销基础（例如通过礼物，浪费或捐赠）正处于紧张状态。基于与准父母的焦点小组讨论，事实上，促进CB储蓄对CB对于新生婴儿的价值具有批判性思考，这可能重新激发了延迟脐带夹持的传统。从理论上讲，这些矛盾的价值体系是通过有关生物经济的最新文献和马克思关于使用价值与交换价值之间的紧张关系的著作的概念化的。

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