Clinical Experience in Peripartum and Postpartum Blood Transfusion Patients

Seçen, Elçin İşlek; Sargın, Mehmet; Çamurşen, Esra; Yetimoğlu, İdris; Yilmaz, Özge Kaymaz; Tuğ, Niyazi

doi:10.16948/zktipb.500935

Cited by 1 publication

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References 16 publications

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“…This rate is similar to the study conducted by Seçen et al in our country. In the study by Seçen et al, it was seen that transfusions were pre-partum in 2.1%, intra-partum in 16.8%, and post-partum in 81% of patients (5). In the study by Madhushree et al, transfusion indications were found to be 58.4% anemia, 19.3% obstetric hemorrhage, and 3.8% thrombocytopenia (16).…”

Section: Discussionmentioning

confidence: 97%

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Üçüncü Basamak Hastanede Obstetrik ve Jinekolojik Nedenlerle Yapılan Kan Transfüzyonlarının Değerlendirilmesi

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et al. 2022

Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi

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Blood transfusion is defined as the delivery of blood components and coagulation factor concentrates to a patient. About half of transfusions between the ages of 20 and 35 are performed in obstetrics and gynecology clinics. Electronic file records of 137 patients who underwent blood transfusion in Muğla Training and Research Hospital, Gynecology and Obstetrics Clinic between January 2014 and December 2018 were reviewed retrospectively. The demographic information of the patients, Hemoglobin and Hematocrit (before and after transfusion) values, and applied blood products and their amount were recorded. Of the patients who received blood transfusion, 79 were obstetric and 58 were gynecological patients. In obstetric cases, blood transfusion was most frequently performed after cesarean section (56.6%). Among the causes of transfusion, 43 (54%) patients had anemia after anemia, 10 (12.6%) patients had anemia after D/C, and 5 (6.32%) patients had uterine atony. Diagnostic dilatation/curettage (D/C) and total abdominal hysterectomy were performed in 12 (20.68%) of 58 patients, who were transfused for gynecological reasons, with the diagnosis of menometrorrhagia, while myomectomy was performed in 10 of these patients (17.24%), total laparoscopic hysterectomy was performed in 9 (15.51%) patients, urogynecological surgery and laparoscopic cystectomy were performed in 5 (8.62%) patients, and medical treatment was given with the diagnosis of menometrorrhagia. The preparation and use of blood and blood products should be approached in a multidisciplinary manner, covering many branches, especially Gynecology and Obstetrics and Hematology. Anemia prophylaxis should be initiated beforehand and post-operative transfusion should be reduced in pregnant women and patients who will undergo surgery. Unnecessary transfusions should be avoided in order to avoid complications that may occur during and after transfusion.

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Section: Discussionmentioning

confidence: 97%

“…Obstetric hemorrhages are the leading cause of maternal mortality and morbidity. These hemorrhages are responsible for 17.9% of maternal deaths in our country (5). The most common postpartum hemorrhages in obstetric cases are bleeding due to uterine atony.…”

Section: Introductionmentioning

confidence: 99%