The decision to donate her baby's cord blood was "a no-brainer," said Michael's mother, Megan Kuttler of West Conshohocken. "If it could help somebody else, of course I wanted to."

Most expectant parents in the Philadelphia region do not have that opportunity.

"Women want to donate, but we can't afford to collect it," said Dennis Todd, CEO at Community Blood Services in Montvale, N.J. The agency - one of only 21 public cord-blood banks in the nation that provide units for transplants - receives an average of five calls or e-mails a week from expectant parents asking how they can contribute their baby's cord blood for the greater good.

The answer is almost always, "Sorry, but you can't."

"It's tough to do a good deed," said Frances Verter, director of the nonprofit Parent's Guide to Cord Blood Foundation.

Unless a woman delivers at one of the relatively few hospitals affiliated with a public cord-blood bank, her options are limited.

The Carolinas Cord Blood Bank, part of Duke University, is one of the few public banks that will send collection kits to qualified donors.

Only the most motivated women donate this way.

To do it, the mother has to fill out forms, request a kit, and ask the person who delivers her baby to take an online certification course and collect six vials of maternal blood as well as the baby's cord blood. Then the mother has to ship the package within 48 hours to the lab.

What is surprising is that so many are willing to do it. Duke can't fill all the requests it receives.

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Umbilical-cord stem cells valuable, but usually wasted