Blood Component Therapy in Obstetrics

Fuller, Andrea; Bucklin, Brenda A.

doi:10.1016/j.ogc.2007.06.003

Cited by 16 publications

(26 citation statements)

References 54 publications

(115 reference statements)

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“…in obstetrical patients if transfusion is needed before type specific or crossmatched blood can be obtained, if possible type-O, Rh-negative blood should be utilized because of future risk of Rh sensitization; however if not readily available Rh-positive blood should not be withheld if clinically required. The surgeon must be aware that hemolytic transfusion reactions with emergency non typed blood can reach up to 5% [19]. …”

Section: Failure Of Hemorrhage Controlmentioning

confidence: 99%

Emergent management of postpartum hemorrhage for the general and acute care surgeon

et al. 2009

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BackgroundPostpartum hemorrhage is one of the rare occasions when a general or acute care surgeon may be emergently called to labor and delivery, a situation in which time is limited and the stakes high. Unfortunately, there is generally a paucity of exposure and information available to surgeons regarding this topic: obstetric training is rarely found in contemporary surgical residency curricula and is omitted nearly completely from general and acute care surgery literature and continuing medical education.MethodsThe purpose of this manuscript is to serve as a topic specific review for surgeons and to present a surgeon oriented management algorithm. Medline and Ovid databases were utilized in a comprehensive literature review regarding the management of postpartum hemorrhage and a management algorithm for surgeons developed based upon a collaborative panel of general, acute care, trauma and obstetrical surgeons' review of the literature and expert opinion.ResultsA stepwise approach for surgeons of the medical and surgical interventions utilized to manage and treat postpartum hemorrhage is presented and organized into a basic algorithm.ConclusionThe manuscript should promote and facilitate a more educated, systematic and effective surgeon response and participation in the management of postpartum hemorrhage.

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Section: Failure Of Hemorrhage Controlmentioning

confidence: 99%

Emergent management of postpartum hemorrhage for the general and acute care surgeon

et al. 2009

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“…Septicemia, Hepatitis, Malaria, dengue or other infections were associated DIC in pregnancy. In cases having active bleeding and platelet count \ 50 9 10 9 /L, platelets and/or coagulation factors are administered [10,11]. If FFP transfusion is not possible due to fluid over load then cryoprecipitate should be given [2].…”

Section: Discussionmentioning

confidence: 99%

Blood Component Utilization for Disseminated Intravascular Coagulation (DIC) Cases with Respect to Underlying Condition

Gupte

Jhaveri

2015

Indian J Hematol Blood Transfus

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To understand transfusion requirement in DIC with respect to (wrt) underlying cause. Patients' details were analyzed using parameters like yearly requirement, hemoglobin (Hb) and blood components utilization wrt age, sex and cause of DIC. Total 1931 DIC cases from 167 hospitals received 21,153 blood units including whole blood, red cell concentrate fresh frozen plasma, random donor platelets, single donor platelets and cryoprecipitate from year 2001 to 2013. Significant risk of DIC was for females compared to males (p \ 0.0001). Whole blood utilization was 25.5 % in 2001 which reduced to 1.2 % in 2013. Mean ± SD Hb concentration was 8.6 ± 3.0 in females and 9.8 ± 3.2 g/dL in males. The lowest mean Hb was 7 g/dL in female DIC cases having malignancy. Septicemia was the major cause of DIC followed by obstetric complications. The highest requirement was for trauma associated with septicemia, requiring 35 units/case. Combination of two or more underlying causes for DIC increased the blood component requirement.

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“…Blood transfusion is the term used to describe the therapeutic use of whole blood and blood products. 1,2 The study of Red Blood Cell (RBC) antigens and the antibodies reactive with them forms the foundation of transfusion medicine. 1,2 Blood transfusion is a life saving procedure but it is not without risk.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 The study of Red Blood Cell (RBC) antigens and the antibodies reactive with them forms the foundation of transfusion medicine. 1,2 Blood transfusion is a life saving procedure but it is not without risk. Receipients may rarely develop transfusion transmitted infection as well as suffer from immunological sequelae such as red cell alloimmunisation.…”

Section: Introductionmentioning

confidence: 99%

Routine Gynaecological Operations Without Blood Transfusion

Mustafa

Yasmin²,

Afreen³

et al. 2020

J Dhaka Med Coll

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Objective : To establish the fact that most of the routine gynaecological operations need no blood transfusion. Method : This was a prospective observational study conducted in Dhaka Medical College Hospital from 15th January, 2011 to 14th April, 2011. Subjects were gynaecological patients admitted for routine operation. Main outcome variable was comparison of postoperative events between patients who received blood transfusion and who did not. Results : 40 gynaecological patients were operated without blood transfusion (Group I ) and 40 patients were taken who were operated with blood transfusion (GroupII ). Among the patients 35% in Group I and 42.5 % patients in Group II had some minor complications (hypotension, fever, wound infection and others) in postoperative period . The p value of of these postoperative complications in Group I is 0.020 and in Group II is 0.047 and r = 0.75 . The difference of pvalue is significant. No patient of any group sufferred from any major comcplication. Conclusion : There was no advantage of transfusing blood in routine gynaecological operation, rather more patients with blood transfusion had some minor postoperative complications. J Dhaka Medical College, Vol. 27, No.2, October, 2018, Page 123-126

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Blood Component Therapy in Obstetrics

Cited by 16 publications

References 54 publications

Emergent management of postpartum hemorrhage for the general and acute care surgeon

Emergent management of postpartum hemorrhage for the general and acute care surgeon

Blood Component Utilization for Disseminated Intravascular Coagulation (DIC) Cases with Respect to Underlying Condition

Routine Gynaecological Operations Without Blood Transfusion

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