Changing trends of blood transfusion requirement in obstetrics and gynaecology

Singh, Rohan Kumar; Anne, Sirisha; Ravindran, P Sruthi

doi:10.18203/2320-1770.ijrcog20181949

Cited by 4 publications

(2 citation statements)

References 6 publications

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“…10 Singh et al studied changing trends of blood transfusion requirement in obstetrics and gynaecology and stated that common indication for blood transfusion in obstetrics were anemia near term, post-partum haemorrhage, antepartum haemorrhage and incomplete abortion. 11 Xie et al did an observational study 'incidence, trends and risk factors for obstetric massive blood transfusion in China from 2012 to 2019' and stated that incidence of obstetric massive blood transfusion was 23.68/10000 maternities which was on rising trend. 12 Chawla et al studied blood transfusion practices in obstetrics over one year period in 2016 and told that total 32 women from total 2423 deliveries received transfusion.…”

Section: Resultsmentioning

confidence: 99%

Recent trends of interventions in labor management at a tertiary care hospital

Thakkar,

Agarwal

2024

Int J Reprod Contracept Obstet Gynecol

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Background: Aim of the study were to identify the changing trends in labor management in terms of rate of cesarean section (C-section), rate of trial of labor after C-section (TOLAC), rate of primary and repeat C-section, rate of episiotomy in primi and multi-gravida and percentage contribution of red cell concentrate (RCC) to total blood transfusion. Methods: The data was collected retrospectively for every year at SSG hospital, Baroda from 1st January 2014 to 31st December 2022. C-section rate was calculated per annum in percentage, which was again split into primary and repeat C-section rate. Leading indications for primary C-section were identified. Rate of total episiotomy, in primigravida and multigravida, trends of RCC transfusion rates and its contribution to total blood products were estimated. Appropriate statistical tests were applied to check level of significance. Results: C-section rate contributing to total confinements increased from 30.76% in 2014 to 37.6% in 2022, which was statistically significant. Contribution by primary C-section has decreased but repeat C-section has increased over these years. Common indications for primary C-section included fetal distress, MSL, breech presentation, non-progression of labor etc. Overall rate of episiotomy has increased from 41% in 2104 to 54.4% in 2022, with decrease in primigravida and increase in multigravida over these years but these rates are not significantly changed. Contribution of RCC to total transfusion significantly decreased from 76.1% in 2014 to 66% in 2022. Conclusions: Rate of total and for repeat C-section are increasing with time, so TOLAC and other strategies to reduce primary C-section should be focused upon. Episiotomy must not be routine and should be given when indicated only. Interventions to reduce requirement of blood transfusion must be strengthened. New oral and parenteral iron preparations should be accepted based on evidences.

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Section: Resultsmentioning

confidence: 99%

Recent trends of interventions in labor management at a tertiary care hospital

Thakkar,

Agarwal

2024

Int J Reprod Contracept Obstet Gynecol

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“…During the last three decades a general trend in the reduction of blood transfusion is observed in obstetrics and gynecology. The cause for this trend is mainly risk associated with blood transfusion especially transfusiontransmitted infections and improved pharmacological, surgical and mechanical innovations to decrease blood loss and iron supplementation for high-risk people 10,11 . This study was conducted to find out the main causes of blood transfusion in the gynecology and obstetrics department and to highlight the use of blood components instead of whole blood transfusion.…”

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confidence: 99%

Blood Transfusion in Obstetrics and Gynecology: A Retrospective Analysis in Government Naseerullah Babar Hospital Peshawar

Kashif

Ambreen²,

Ahsan

2022

J Gandhara Med Dent Sci

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OBJECTIVES: To evaluate the indications of blood transfusion in the Obstetrics and Gynecology Department of Government NaseerUllah Khan Babar Memorial Hospital. METHODOLOGY: This retrospective observational study was performed on indoor gynecology and obstetrics patients for the period of one year, a total of 100 patients were included in this study that received blood transfusion. Samples were collected by non-random convenience sampling after getting approval from the hospital ethical committee. Data was analyzed by using SPSS version 20. RESULTS: In this study a total of 100 patients who received blood transfusion were analyzed, out of 100 patients 78% of patients received transfusion due to obstetrical causes and 22% patients got transfused for gynecological causes. Most common blood group transfused was B+ and O+ and mean hemoglobin level at which patients received blood transfusion was 9.7g/dl. Blood components preparation can provide components to treat two to three patients from a single donor. The use of packed cell transfusion should be promoted instead of whole blood transfusion that is not even needed in most of the cases. CONCLUSION: Blood transfusion practice has been used aggressively in gynecology and obstetrics in some cases even without proper indications. There is a need to modify this practice by correcting anemia through drugs to avoid the inappropriate use of blood. Use of blood components should be encouraged.

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Transfusion Practices in Obstetrics and Gynaecology

Jain

Raghuvanshi

Garg

et al. 2022

Global Journal for Research Analysis

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Blood transfusion plays a vital role in Obstetrics and Gynaecology and appropriate transfusion practices can prove as a boon to patient with minimal adverse reactions. Several diseases in obstetrics like, Obstetric haemorrhage, especially postpartum haemorrhage and antepartum haemorrhage, severe anaemia, ectopic pregnancy, molar pregnancy requires immediate transfusion of blood to reduce maternal mortality. In gynaecological practice, certain conditions like broids, cervical cancer, endometrium cancer, ovarian cancer, hysterectomy requires transfusion of blood mostly to recover operative loss of blood. Written informed consent and pre-transfusion testing is very important before start of transfusion. For this purpose, role of transfusion medicine specialist is equally important e.g. from the selecting of appropriate blood and blood components to the pre-transfusion testing and antibody screening of patient's sample. Though, blood transfusion is a lifesaving process in critical conditions but it is not without side effects and risks. Therefore, some strategies have been designed to avoid blood transfusion. In conclusion, we can say that before every transfusion risk benet ratio must be kept in mind and appropriate transfusion practices should be adopted for every blood transfusion.

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Changing trends of blood transfusion requirement in obstetrics and gynaecology

Cited by 4 publications

References 6 publications

Recent trends of interventions in labor management at a tertiary care hospital

Recent trends of interventions in labor management at a tertiary care hospital

Blood Transfusion in Obstetrics and Gynecology: A Retrospective Analysis in Government Naseerullah Babar Hospital Peshawar

Transfusion Practices in Obstetrics and Gynaecology

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