Analysis of Intrapartum Blood and Blood Product Transfusion in Tertiary Care Centre


Authors : I.Shinde; S. Mande; G. Bapat

Volume/Issue : Volume 5 - 2020, Issue 12 - December

Google Scholar : http://bitly.ws/9nMw

Scribd : https://bit.ly/2KFh0fO

Abstract : Blood Transfusion is identified as one of the essential components of comprehensive emergency obstetric care which has drastically reduced the maternal mortality. we aimed to study the different causes of obstetric hemorrhage and to analyse blood and blood product transfusion during intrapartum period. Material and Methods: This is prospective study conducted at MGM Medical College and Hospital, in Department of OBGY. (Tertiary care centre)from June 2019 – April 2020 (12 months). A total 143 cases of patients who required intrapartum blood and blood products transfusion were included. Results: In current study we found maximum transfusion were in the age group of 21-30 years. Multigravida are at more risk for requiring transfusion. Patients with irregular ANC visits are more prone to obstetric complications, because of Lack of awareness of proper ANC care. More than half of the cases had anaemia in moderate range.PPH is the commonest indication requiring blood transfusion followed by APH and PIH. Emergency procedure are at more risk of requiring transfusion. Most of the patients were in the moderate anaemia range,only packed red cell transfusion sufficed the haemostatic requirement. Conclusion: The results helped to evaluate the frequent indication of blood transfusion in obstetrics, the number and components of blood transfused that would be helpful to estimate the need of blood products in future, to cope up the need and to secure an adequate blood donor pool.

Keywords : Blood transfusion, Postpartum haemorrhage, Blood components, fresh frozen plasma/packed red blood cell.

Blood Transfusion is identified as one of the essential components of comprehensive emergency obstetric care which has drastically reduced the maternal mortality. we aimed to study the different causes of obstetric hemorrhage and to analyse blood and blood product transfusion during intrapartum period. Material and Methods: This is prospective study conducted at MGM Medical College and Hospital, in Department of OBGY. (Tertiary care centre)from June 2019 – April 2020 (12 months). A total 143 cases of patients who required intrapartum blood and blood products transfusion were included. Results: In current study we found maximum transfusion were in the age group of 21-30 years. Multigravida are at more risk for requiring transfusion. Patients with irregular ANC visits are more prone to obstetric complications, because of Lack of awareness of proper ANC care. More than half of the cases had anaemia in moderate range.PPH is the commonest indication requiring blood transfusion followed by APH and PIH. Emergency procedure are at more risk of requiring transfusion. Most of the patients were in the moderate anaemia range,only packed red cell transfusion sufficed the haemostatic requirement. Conclusion: The results helped to evaluate the frequent indication of blood transfusion in obstetrics, the number and components of blood transfused that would be helpful to estimate the need of blood products in future, to cope up the need and to secure an adequate blood donor pool.

Keywords : Blood transfusion, Postpartum haemorrhage, Blood components, fresh frozen plasma/packed red blood cell.

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