A study on transfusion practice in obstetric hemorrhage in a tertiary care centre

Fazal, Shiffi; Poornima, AP

doi:10.4103/gjtm.gjtm_48_17

Cited by 9 publications

(20 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The maximum number of patients 197 (48.6%) were in the age group of 26-30 years in this study, which was comparable to the results found in a study by Chawla S et al, in India where majority of patients receiving blood transfusion were in the age group of 21-30 years and in the study conducted by Fazal S et al, in Kerala where maximum number of patients were in the age group of 20-29 years. 8,9 Also in another study, it was reported that the risk of blood transfusion was more in extremes of age. 10 While observing the parity status we found that 50.12% of women who received blood transfusions were multiparous with at least 2 previous viable births.…”

Section: Discussionmentioning

confidence: 94%

Role of blood and blood components transfusion in obstetric emergencies

Vaid

Kapoor

et al. 2020

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Common obstetric emergencies require blood and blood components transfusion. The use of blood and its components has become a lifesaving strategy in management of obstetric haemorrhage. This study was aimed to know the prevalence, indications and adverse reactions of blood and its components transfusion.Methods: A review of 405 patients of obstetric emergencies requiring blood and its component transfusion was done.Results: Prevalence of blood and blood components transfusion in obstetric emergencies in one-year period was 18.4%. Mostly women who received blood transfusions were multiparous (50.12%) and belonged to rural areas (62%). Anemia is a risk factor for obstetric emergencies and the mean pre transfusion hemoglobin ±SD was 8.04±1.38 (g/dl). Obstetric hemorrhage (68.6%) was the most common indication for transfusion and packed red cells were most commonly (54.07%) transfused. The overall percentage of adverse reactions seen during transfusion was 1.95%.Conclusions: The present study reinforces the importance of appropriate use of blood and its components in obstetric emergencies. Appropriate use of blood components avoids many of the hazards associated with use of whole blood. All blood components should be made available at peripheral hospitals as most of the patients require specific blood component and they are referred to tertiary care centre in emergencies which can be avoided.

show abstract

Section: Discussionmentioning

confidence: 94%

Role of blood and blood components transfusion in obstetric emergencies

Vaid

Kapoor

et al. 2020

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…Fazal S et al, have reported antepartum and peripartum transfusion in 27% and 73% respectively. 3 Madhushree D et al have reported that, antepartum transfusion 161 (78.9%) was more than intrapartum 28 (13.7%) and postpartum 15 (7.3%) transfusions. 5 In present study, out of 65 antenatal transfusions, almost half of the patients 33 (50.7%) received transfusion in term gestation i.e.…”

Section: Resultsmentioning

confidence: 97%

“…Kawthalkar A et al, Fazal S et al, and Madhushree D et al, have reported 63.8%, 61.6%, and 58.4% patients of nutritional anaemia who required blood transfusion. 3,5,6 As per National Family Health Survey 4 (NFHS 4), pregnant women who were anaemic in state of Gujarat and India were 51.3% and 50.4% respectively. 7 Urban-Rural ratio of pregnant women who were anaemic in Gujarat and India was 47.2%-54.2% and 45.8%-52.2% respectively.…”

Section: Resultsmentioning

confidence: 99%

Analysis of transfusion of blood and blood products and their utilization pattern at department of obstetrics of tertiary care hospital

Vasava¹,

Thaker²,

Tyagi³

et al. 2019

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: In developing countries, nutritional anaemia and obstetric complications are leading causes of transfusion of blood and blood products. The study was aimed to analyse utilization pattern and to identify the indications of transfusion of blood and blood products in obstetrics and to study outcome and management of pregnancy in patients who required blood and/or blood products.Methods: This retrospective study was carried out at department of obstetrics of tertiary care teaching hospital from September 2018 to November 2018 and data was collected from all patients who had received transfusion of blood and/or blood products for any obstetric cause.Results: A total of 164(6.8%) patients received blood and blood products transfusion. Department of obstetrics utilized maximum units of blood and FFP whereas PRC utilization was second highest. There were 62(37.8%) of patients who had not taken any antenatal care, whereas 64(39.0%) patients had less than 4 antenatal visits. Three most common indications for transfusion of blood and blood products were 63.4% in nutritional anaemia, 17.1% in obstetric haemorrhage and 11.6% in first trimester complications.Conclusions: Three most common indications for transfusion were nutritional anaemia, obstetric haemorrhage and first trimester complications. Majority of patients had inadequate or no antenatal care. Early and regular antenatal care, early diagnosis and management of high-risk pregnancies and obstetric complications, institutional delivery can reduce the rate of transfusion of blood and blood products.

show abstract

“…61.6% patients of nutritional anemia who required blood transfusion. [4,6,7] . Anemia continues to top the list of indications for blood transfusion.…”

Section: Discussionmentioning

confidence: 99%

Blood transfusion practices in obstetric patients at a tertiary care institute during COVID-19 first wave: The need to re-strategize

Chahure¹,

Junnare²,

Shekhawat³

2021

Int. J. Clin. Obstet. Gynaecol.

View full text Add to dashboard Cite

The COVID-19 pandemic has had an enormous impact on all aspects of life, including the blood transfusion practice. We tried to explore the reasons for blood transfusion in detail for each obstetric case that required it. Our aims were to-1. Study the incidence of blood transfusion in obstetrics 2. Determine the reason behind the need for blood transfusion 3. Follow-up to obtain history about prophylactic iron supplementation Out of 6049 admissions in 2020, 211 (3.4%) patients required blood product transfusion (which included two maternal mortalities). Commonest indication for blood transfusion was anemia(63.5%) followed by obstetrical hemorrhage (34.12%). Patients(60.6%) contacted telephonically indicated poor compliance to oral iron. The analysis of blood transfusions during a COVID-19 wave shows unpreparedness to cope with an enormous shortage of blood products, exposing a loophole. Hence innovative ideas and an investigation into non-compliance toward iron tablets is the need of the moment.

show abstract

A study on transfusion practice in obstetric hemorrhage in a tertiary care centre

Cited by 9 publications

References 0 publications

Role of blood and blood components transfusion in obstetric emergencies

Role of blood and blood components transfusion in obstetric emergencies

Analysis of transfusion of blood and blood products and their utilization pattern at department of obstetrics of tertiary care hospital

Blood transfusion practices in obstetric patients at a tertiary care institute during COVID-19 first wave: The need to re-strategize

Contact Info

Product

Resources

About