Appropriateness of Routine Crossmatch in Elective Caesarean Section for Low Risk Postpartum Hemorrhage Pregnancies

Sripunlom, Ngamchuen; Ratchanon, Sarwinee; Ouitrakul, Sirisuk

doi:10.4172/2090-7214.1000283

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…As compared to various studies showing high cross match transfusion ratio (>2.5). 10,11 In our study the C/T ratio was 1.5 in emergency group and 2 in elective caesarean section, transfusion probability was 60 % and 66.7% in emergency and elective caesarean group respectively and transfusion index was 1 in both the group. The limited cross match practice in our institute may be attributed to the protocol of checking the availability to group specific blood instead of cross matching as the cross match procedure charges are nonrefundable if transfusion is not administered.…”

Section: Group Bsupporting

confidence: 44%

Elective versus emergency caesarean section: differences in maternal outcome

Sharma¹,

Acharya²,

Pehal³

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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Background: Caesarean section is a life-saving surgical procedure when certain complications arise during pregnancy or labour. The use of CS worldwide has increased worldwide unprecedented levels although the gap between higher- and lower-resource settings remains. The present study evaluates the difference in maternal outcome in elective versus emergency caesarean sections in our institute.Methods: The study included first 65 cases of emergency caesarean section (group A) and during the study period, first 65 elective caesarean section (group B) if they fulfilled the inclusion criteria. Various intra operative and postoperative events were recorded which included intra operative complications, postpartum haemorrhage and transfusion indices.Results: The most common indication of caesarean section in group A was fetal distress (27.7%). In group B most caesarean sections were classified under 5 followed by class 6, the most common indication being previous caesarean section (27.6%). It was observed that pre-operative mean haemoglobin in group A was 10.6 g/dl and in group B was 11.2g/dl. A drop of 1.36 g/dl in group A and 1.10 g/dl in group B was observed in the post-op period. Cross match / transfusion ratio 1.5 in group A and 2 in group B, transfusion probability ratio was 60 % in group A and 66.7% in group B and transfusion index was 1 in group A and group B. There was significantly higher contraception acceptance in group B compared to group A.Conclusions: Elective caesarean section has more favourable maternal outcome as compared to emergency caesarean section as the former is done under controlled and planned circumstances. However, there should be stringent audit to scrutinise indication of caesarean section, outcome of caesarean and blood transfusion practices.

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Section: Group Bsupporting

confidence: 44%

Elective versus emergency caesarean section: differences in maternal outcome

Sharma¹,

Acharya²,

Pehal³

et al. 2019

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

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“…Most of the variables were obtained before the CD, and their definition and access methods are shown in Supplementary Table 1. Based on the previous studies 8,18,[26][27][28][29][30] , a total of 56 potential risk factors were obtained from the medical record systems. Of these, 10 factors had a missing rate of more than 30% and were excluded.…”

Section: Potential Risk Factorsmentioning

confidence: 99%

Risk-factor model for postpartum hemorrhage after cesarean delivery: a retrospective study based on 3498 patients

Gong

Chen

Zhang

et al. 2022

Sci Rep

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This study aimed to investigate the risk factors of patients with postpartum hemorrhage (PPH) after cesarean delivery (CD) and to develop a risk-factor model for PPH after CD. Patients were selected from seven affiliated medical institutions of Chongqing Medical University from January 1st, 2015, to January 1st, 2020. Continuous and categorical variables were obtained from the hospital’s electronic medical record systems. Independent risk factors were identified by univariate analysis, least absolute shrinkage and selection operator and logistic regression. Furthermore, logistic, extreme gradient boosting, random forest, classification and regression trees, as well as an artificial neural network, were used to build the risk-factor model. A total of 701 PPH cases after CD and 2797 cases of CD without PPH met the inclusion criteria. Univariate analysis screened 28 differential indices. Multi-variable analysis screened 10 risk factors, including placenta previa, gestational age, prothrombin time, thrombin time, fibrinogen, anemia before delivery, placenta accreta, uterine atony, placental abruption and pregnancy with uterine fibroids. Areas under the curve by random forest for the training and test sets were 0.957 and 0.893, respectively. The F1 scores in the random forest training and test sets were 0.708. In conclusion, the risk factors for PPH after CD were identified, and a relatively stable risk-factor model was built.

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Appropriateness of Routine Crossmatch in Elective Caesarean Section for Low Risk Postpartum Hemorrhage Pregnancies

Cited by 2 publications

References 12 publications

Elective versus emergency caesarean section: differences in maternal outcome

Elective versus emergency caesarean section: differences in maternal outcome

Risk-factor model for postpartum hemorrhage after cesarean delivery: a retrospective study based on 3498 patients

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