Blood transfusion in patients having caesarean section: a prospective multicentre observational study of practice in three Pakistan hospitals

Ismail, Samina; Siddiqui, S.; Shafiq, Faraz; Ishaq, Muhammad; Khan, Sumaiya

doi:10.1016/j.ijoa.2014.01.004

Cited by 11 publications

(11 citation statements)

References 21 publications

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“…Based on title and abstract screening, we assessed 31 full-texts of which we included five publications describing three RCTs [16][17][18] involving 1,090 participants and, two CCTs [19,20] with a total of 5,207 participants. Table 2 describes study characteristics related to design of study, setting, number of participants, mean age, gender, inclusion and exclusion criteria, and follow-up.…”

Section: Search Resultsmentioning

confidence: 99%

“…Table 2 describes study characteristics related to design of study, setting, number of participants, mean age, gender, inclusion and exclusion criteria, and follow-up. Two studies [19,20] were conducted largely in Asia, two others in Africa [16,18], and one in Europe [17]. Randomized trials sample size ranged from 50 [18] to 521 [17], and controlled clinical trials studies from 1,769 [20] to 3,438 [19], and typically included females between the ages of 20 and 40 years.…”

Section: Search Resultsmentioning

confidence: 99%

“…Three included studies [17,19,20] allocated women to receive blood transfusion or no intervention and two others [16,18] provided women with either restricted or full blood supplies ( Table 2). Figure 2 and Table 3 describe the risk of bias assessment for the RCTs and CCTs.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Figure 2 and Table 3 describe the risk of bias assessment for the RCTs and CCTs. The major issue regarding risk of bias was the extent of allocation concealment and blinding of participants, caregivers, data collectors, statistician, and outcome assessors in all the included studies [16][17][18][19][20]. Only one study [18] had additional problems of missing outcome data, and three other studies [16,19,20] had issues related to generation of allocation.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

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Efficacy and safety of blood transfusion in obstetric patients: systematic review of the literature

Módolo¹,

Agarwal²,

Piva³

et al. 2017

Ginekol Pol

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Objectives: To evaluate the efficacy of blood transfusion compared to no intervention in obstetric patients. Material and methods:A systematic review was performed with Cochrane Database of Clinical Trials, PubMed, EMBASE and LILACS databases searched as of September, 2016. Two authors independently selected relevant clinical trials, assessed their methodological quality and extracted data, using the GRADE approach.Results: Five studies within a total of 6,297 met the inclusion criteria, with women generally aged 20-40 years. Three included studies allocated women to receive blood transfusion or no intervention. Two other studies allocated women with either restricted or full blood supplies. The major issue regarding risk of bias was the extent of concealment of randomization and blinding. There was no statistically significant difference between blood transfusion versus no transfusion or restricted blood supply on mortality (relative risk 0.82 [95% confidential interval 0.32 to 2.09], p = 0.68; two studies; I 2 = not applicable). Conclusions:Very low-quality evidence suggests no significant difference between blood transfusion and no intervention in obstetric patients, underlining the need for more robust clinical trials evaluating this area.

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Section: Search Resultsmentioning

confidence: 99%

Section: Search Resultsmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

See 2 more Smart Citations

Efficacy and safety of blood transfusion in obstetric patients: systematic review of the literature

Módolo¹,

Agarwal²,

Piva³

et al. 2017

Ginekol Pol

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“…[ 21 ] In developing countries patient population presenting in public sector hospitals are from low socioeconomic class and education. [ 22 ] These patients have lack of awareness of EA which may contribute to the decreased demand of labour analgesia. [ 10 ] In addition cost is another issue in the public sector hospital as Tracy and Tracy[ 23 ] indicated that epidural is associated with a sharp increase in cost of 32% for primpara low risk women and up to 36% for multipara low risk women.…”

Section: Discussionmentioning

confidence: 99%

Does labour epidural slow the progress of labour and lead to complications? Obstetricians′ perception working in private and public sector teaching hospitals in a developing country

Sohaib

Ismail

2015

Indian J Anaesth

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Background and Aims:Obstetricians play a major role in the decision making for provision of analgesia for the woman in labour. As epidural analgesia (EA) is the most preferred technique, it is important to know obstetricians' perception regarding its effect on progress of labour and associated complications.Methods:The 6 months cross-sectional study included 114 obstetricians from teaching hospitals. After informed consent, obstetricians were asked to fill a predesigned questionnaire containing 13 close ended questions regarding their perception on the effect of EA on progress of labour, EA complications and whether they would recommend EA to their patients or not. Other variables included age, gender, training in EA, practice type and hospital settings (private or public sector).Results:Majority of the obstetricians had the perception of EA prolonging the first stage (89.5%) and second stage (98.2%) of labour, increasing the rate of caesarean section (87.7%), instrumental delivery (58.8%) and increasing the incidence of backache (85.5%). None of the obstetricians received any formal training in EA. Majority (84.2%) were not sure if they would recommend EA to their patients. When these responses were compared between public and private sector, a statistically higher percentage (P < 0.001) of public sector obstetricians had negative perception of EA.Conclusion:Perception of obstetrician regarding EA is contrary to the current evidence. There is a need to introduce formal curriculum on EA in obstetric training program and conduct regular refresher courses.

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Blood Transfusion Practices in Obstetrics: Our Experience

Chawla

Bal

Vardhan

et al. 2018

J Obstet Gynecol India

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Blood transfusion in patients having caesarean section: a prospective multicentre observational study of practice in three Pakistan hospitals

Cited by 11 publications

References 21 publications

Efficacy and safety of blood transfusion in obstetric patients: systematic review of the literature

Efficacy and safety of blood transfusion in obstetric patients: systematic review of the literature

Does labour epidural slow the progress of labour and lead to complications? Obstetricians′ perception working in private and public sector teaching hospitals in a developing country

Blood Transfusion Practices in Obstetrics: Our Experience

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