Blood Transfusion Practices in Obstetrics: Our Experience

Chawla, Sushil; Bal, Maj H. K.; Vardhan, Brig Shakti; Jose, Col T.; Sahoo, Ipsita

doi:10.1007/s13224-018-1092-x

Cited by 21 publications

(37 citation statements)

References 18 publications

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“…13 In another study by Chawla et al, it was observed that 66% patients were transfused with fresh frozen plasma, 79% patients were transfused with packed cell volume transfusion, 15% patents were transfused with platelet transfusion. 4 The Ten Commandments for the transfusion practice in medicine state that transfusion should only be used when the benefits outweigh the risks and there are no appropriate alternatives, and laboratory tests should not be the sole deciding factor for transfusion. 14 The guidelines for blood transfusion to obstetrics (Ob)/gynecology (Gy) patients are available.…”

Section: Resultsmentioning

confidence: 99%

Study of blood component therapy in obstetrics

Pancholi

2019

Int J Reprod Contracept Obstet Gynecol

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Background: Blood transfusion is a life saving measure. Various pregnancy complications and disorders of labor present as risk factors for extra blood loss during pregnancy and cause severe hemodynamic instability. This along with complications due to abortion (spontaneous or induced) and ruptured ectopic pregnancy show up as conditions needing transfusion in the day-to-day practice of obstetrics. In a country like India, limited and fixed resources of blood, forces us to titrate the use of blood and its components. Normally, blood loss during birth is well-tolerated because of changes during pregnancy.Methods: This is a retrospective observational study done at tertiary care hospital. This study is based on study of indoor patients admitted during one year duration. Detailed history and all necessary investigations were carried out. Details regarding blood transfusion were taken indication of blood transfusion, number and type of unit transfused, number of patients given blood components, indications where single unit was transfused. Analysis of the data was done.Results: Anemia followed by antepartum hemorrhage followed by postpartum hemorrhage was the major cause for blood and blood product transfusion. Approximately 60% patients required two units of PCV (Packed Cell Volume) transfusion. Anemia in pregnancy was the major cause of single unit PCV transfusion.Conclusions: A proper knowledge for blood and blood product transfusion is needed to make it available for people who are actually in need and also to decrease the economic burden. Measures to prevent anemia should be implemented. Active management of third stage of labour (AMTSL) should be done to avoid postpartum hemorrhage. Single unit transfusion should be avoided.

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Section: Resultsmentioning

confidence: 99%

Study of blood component therapy in obstetrics

Pancholi

2019

Int J Reprod Contracept Obstet Gynecol

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“…Gebelik ve doğum eylemi süresince kan ürünü transfüzyonun gereksinimine yol açan birçok çalışmada ortak risk faktörleri bulunmuştur (4,9). Bu faktörler plasental patolojiler (plesanta previa, insersiyon anomalisi, dekolman, rest plasenta), anemi, aşırı uterus distansiyonu (çoğul gebelik, polihidramnios), preeklampsi/eklampsi, preterm eylem, doğum eyleminin indüksiyonu, travma, acil sezaryen ve operatif doğumu içerir (3,4,9).…”

Section: Discussionunclassified

“…Uterin atoni, postpartum kanamaların %70-80'inden sorumlu olup en sık nedendir (1,7). Gebelikte kan transfüzyonunlarının %24-35 inde neden uterin atoni olarak saptanmıştır (3,4). Bizim çalışmamızda bu oran %18,9 olarak bulunmuştur.…”

Section: Discussionunclassified

“…Gebelik boyunca bildirilen transfüzyon oranları %0,3-6 arasında değişmektedir (2,3,4). Kan transfüzyonu hayat kurtarıcı olmakla birlikte liberal transfüzyon uygulamaları; alloimmünizasyon, enfeksiyon riski, hastanede kalış sürelerinde ve maliyetlerlerde artış riski ile ilişkili bulunmuştur (5).…”

Section: Introductionunclassified

“…Kan transfüzyonu hayat kurtarıcı olmakla birlikte liberal transfüzyon uygulamaları; alloimmünizasyon, enfeksiyon riski, hastanede kalış sürelerinde ve maliyetlerlerde artış riski ile ilişkili bulunmuştur (5). Bu nedenlerden dolayı obstetride kan transfüzyonun kullanımını azaltma yönünde zamanla bir hassasiyet olmuş, bu durum literatürde yayınlanan makalelerle desteklenmiştir (3,5).…”

Section: Introductionunclassified

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Clinical Experience in Peripartum and Postpartum Blood Transfusion Patients

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Zeynep Kamil Tıp Bülteni

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Comprehensive management of Jehovah’s Witness in pregnancy

Pang,

Liaw,

2023

Postgraduate Medical Journal

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Jehovah’s Witness (JW) is a denomination of Christianity which has many-fold higher morbidity and mortality compared to the general population as they refuse blood transfusion. Information is scanty regarding guidelines on the optimal approach to pregnant ladies of JW faith. In this review we have attempted to analyse the ways and techniques available which can be used to reduce the morbidity and mortality of these women. In antenatal care, haematological status can be optimised to reduce modifiable risk factors, namely anaemia by parenteral iron therapy from the second trimester onwards especially in patients who do not respond to oral iron therapy. In severe cases, erythropoietin serves as an effective alternative to blood transfusion. During the intrapartum period, using antifibrinolytics, cell salvage, bloodless surgical techniques, and uterine cooling for patients undergoing caesarean delivery have been proven effective. To conclude, complications of pregnant JW patients may be reduced if they comply with the preventives and targeted monitoring during the various phases of pregnancy. Further studies are warranted as this population exists as a minor group but is growing worldwide. Key messages Current research questions

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Blood Transfusion Practices in Obstetrics: Our Experience

Abstract: 1.3% of all obstetric patients from our center had blood components transfusion during the study period. Postpartum hemorrhage, placental causes and anemia are the commonest causes for need of transfusion in obstetric practice.

Cited by 21 publications

References 18 publications

Study of blood component therapy in obstetrics

Study of blood component therapy in obstetrics

Clinical Experience in Peripartum and Postpartum Blood Transfusion Patients

Comprehensive management of Jehovah’s Witness in pregnancy

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