Vaginal Bleeding in the Nonpregnant Patient Received in Emergency at Yalgado Ouedraogo University Hospital of Ouagadougou, Burkina Faso

Sawadogo, Yobi Alexis; Touré, B.; Ouédraogo, Issa; Kiemtoré, Sibraogo; Kaïn, Dantola Paul; Ouattara, Adama; Zamané, Hyacinthe; Ouédraogo, Ali; Thiéba, Blandine

doi:10.4236/ojog.2018.810088

Cited by 2 publications

(4 citation statements)

References 2 publications

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“…Tables 2, 3, 4, 5, 6 and 7 show us these clinical aspects. [37]. This average age is lower than that of the study carried out in Tunisia by Ben Ayed: 30.74 [40].…”

Section: Indications For Blood Transfusionmentioning

confidence: 65%

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Role of Blood Transfusion in the Management of Obstetric Emergencies in the Gynaecology-Obstetrics Department of Gao Hospital (Mali)

TRAORE

2023

Grn Int J Apl Med Sci

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The aim was to evaluate the role of blood transfusion in the management of obstetric emergencies in the gynaecology and obstetrics department at Gao Hospital. Materials and methods: This was a prospective, descriptive, cross-sectional, analytical study from January 01 to June 30, 2020, i.e. a period of six (06) months in the gynecology-obstetrics department at Gao Hospital. Results: We recorded 536 cases of obstetric emergencies, of which 120 cases required emergency blood transfusion, i.e. 22.39%. The 20-29 age group was the most affected with an average age of 26.5 years. The extremes were 15 and 49 years old. About 95.8% of the transfused women were housewives. During our study, 99.2% of transfused patients were married. During our study, the majority of transfused patients were non-literate, i.e. 90% of cases. Referral/Evacuation was the most common mode of admission at 63.3%. The majority of women transfused had a haemoglobin level between 4 and 6 g/dl, or 55.8%. Whole blood was the only blood product for blood transfusion, accounting for 100% of cases. In 39.2% of the cases, we asked for 4 units of blood. 37.5% of patients had received at least 2 units of blood. During our study, 341 bags were prescribed, an average of 2.85 per patient. Of the 341 bags requested, 237 were served, which represents 69.5% of needs covered. The rate of unmet needs was 30.5% or 104 bags of blood. Retroplacental hematoma was the main indication for blood transfusion with 21.7% of cases. In 7.5% of patients experienced transfusion-related complications (malaria). 70.0% of patients had a haemoglobin level between 8 and 9 g/dl after transfusion. The majority of transfused patients were discharged from hospital (cured), i.e. 93.3%. Conclusion: The rate of unmet obstetric needs is high. This high rate can have a negative impact on obstetric prognosis.

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“…Tables 2, 3, 4, 5, 6 and 7 show us these clinical aspects. [37]. This average age is lower than that of the study carried out in Tunisia by Ben Ayed: 30.74 [40].…”

Section: Indications For Blood Transfusionmentioning

confidence: 65%

“…However, 93.3% had no associated factors. In the work of Samaké M. in Bamako and Sawadogo in Burkina Faso, the same medical history was most frequently encountered during their studies [15,37]. These results could be explained by the fact that these two entities are very common chronic pathologies.…”

Section: Indications For Blood Transfusionmentioning

confidence: 88%

Role of Blood Transfusion in the Management of Obstetric Emergencies in the Gynaecology-Obstetrics Department of Gao Hospital (Mali)

TRAORE

2023

Grn Int J Apl Med Sci

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“…The LBC transport equipment in the current study did not meet the recommendations of various standards in relation to the transport of LBC. 12 In a study carried out in Burkina Faso, 18 LBCs were transported in 100% of cases in thermo stable coolers without an "ice-box".…”

Section: Transport Equipmentmentioning

confidence: 99%

“…On the other hand, 70.4% of patients or their companions were informed about the advantages of transfusion. In Burkina Faso, Sawadogo 18 in 2014 noted that the necessity for BT had been explained to patients and/or their companions, although awareness of the disadvantages of TB was not exhaustive.…”

Section: Compliance With Transfusion Rulesmentioning

confidence: 99%

Critical Assessment of Transfusional Practices in the Obstetrics and Gynecology Department At the University Hospital of Kinshasa

Ngoy¹,

Nkanga²,

Baina³

et al. 2023

JBM

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Gynecology and obstetrics are among the specialties where blood transfusion is most practiced. This situation requires the use of good transfusion practices. The objective of this study was to assess the quality of transfusion practice in the Gynecology and Obstetrics Department of the University Hospital of Kinshasa (UHK). Methods: This is a prospective, evaluative and descriptive study performed at the Department of Gyneco-Obstetrics of the University Hospital of Kinshasa from February 25 to June 25, 2020; which dealt with patients who received at least one blood transfusion. Results: About 498 patients, 54 patients were transfused and their average age was 36.4 years, with the extremes of 14 and 60 years, the transfusion rate was 10.8%. Most of patients (n=36: 2/3) were transfused during weekend days, sachets were used as delivery materials of blood product in 57.4% of cases (n = 31). Among the prescribers of blood products, 70.4% were nurses. All transfusions were carried out in type-specific and cross-matched Rh. All the transfused patients were not aware of the disadvantages of transfusion. Compatibility tests at the patient's bedside were not performed in 61.1% of cases and the concordance control between the patient and the blood component to be transfused was not performed in 70.4% of cases. Close monitoring of blood transfusion in the first ten minutes was not performed in 59.3% of cases. Conclusion: Transfusion encounters real practical problems in the gyneco-obstetrical environment of countries with limited resources. However, an assessment and multidisciplinary collaboration would be necessary to improve transfusion practice in medical field.

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Vaginal Bleeding in the Nonpregnant Patient Received in Emergency at Yalgado Ouedraogo University Hospital of Ouagadougou, Burkina Faso

Cited by 2 publications

References 2 publications

Role of Blood Transfusion in the Management of Obstetric Emergencies in the Gynaecology-Obstetrics Department of Gao Hospital (Mali)

Role of Blood Transfusion in the Management of Obstetric Emergencies in the Gynaecology-Obstetrics Department of Gao Hospital (Mali)

Critical Assessment of Transfusional Practices in the Obstetrics and Gynecology Department At the University Hospital of Kinshasa

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