Tuesday, 10 August 2021

Blood Transfusion Needs among Obstetric Patients in a Tertiary Care Hospital, India: A Prospective Observational Study | Chapter 11 | Highlights on Medicine and Medical Science Vol. 11

 The goal of this study was to look at the different indications for blood and blood component transfusion in obstetric patients. 1. The goal of this study was to find out how common blood transfusions are in obstetric patients, as well as the reasons behind them. 2. To assess the many risk factors that these ladies are exposed to. 3. The purpose of this research is to look into the role of antenatal visits in patients who require blood transfusions. Methodology: From July 2018 to June 2019, a prospective observational study will be done at the department of OBG at SSIMS & RC, Davangere. This study looked at pregnant women and postpartum patients (up to 7 days after birth) who needed blood and blood component therapy and were admitted to the OBG department. During the study period, 543 people out of 5486 required blood transfusions. 9.89 % of the time, transfusions are used. In our study, we found that anaemia, obstetric haemorrhage, thrombocytopenia, disseminated intravascular coagulopathy, ruptured ectopic pregnancy, incomplete miscarriage, full abortion, and hydatidiform mole were among the reasons for blood and blood product transfusion. Anemia in pregnancy was the most common cause, with 217 instances (39.96 percent) detected, followed by postpartum haemorrhage, which was seen in 117 cases (21.54 percent ). Transfusion reactions happened 5.34 percent of the time in our study. Conclusion: A full understanding of blood and blood product transfusion is essential in order to make it available to individuals who are actually in need while also lowering the cost. Prenatal testing should be prioritised in order to maximise haemoglobin levels at delivery and detect high-risk patients. Active management of the stage of labour is critical for reducing blood loss. Anemia is still a common reason for blood and blood product transfusions, followed by maternal haemorrhage.


Author (s) Details

Dr. Renuka
Department of Obstetrics and Gynecology, SSIMS & RC Davangere, Karnataka, India.

A. S. Shridevi
Department of Obstetrics and Gynecology, SSIMS & RC Davangere, Karnataka, India.

G. L. Patil
Department of Obstetrics and Gynecology, SSIMS & RC Davangere, Karnataka, India.

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