Volume : VIII, Issue : VIII, August - 2018

A Descriptive One Year Study on Obstetric RBC Transfusion Practice from a Tertiary Care Centre

Mohandoss Murugesan, Subbiah Sp

Abstract :

 Background There has been a trend towards a reduced use of blood transfusion in obstetric practice. Obstetric hemorrhage is often sudden, unexpected and encompasses antepartum, intra–partum, and postpartum bleeding. A prospective one–year single–centre audit of obstetric red cell transfusions was conducted. Methods Data collection pro forma was used to collect information from maternity case notes on demographics, transfusion details, reason for transfusion, related laboratory data and complications of transfusion. The appropriateness of transfusion was ascertained using the RCOG guidelines for RBC transfusion in obstetric patients. Results The incidence of RBC transfusion among all obstetric admissions was 4.1%. The incidence of RBC transfusion was high in patients with caesarean when compared to vaginal delivery (7.6 versus 2.8, p<0.01). Antenatal anemia (37%) was the most common diagnosis requiring transfusion, followed by post partum hemorrhage (15%). The rate of inappropriate RBC transfusion in the study was 3 percent. Conclusion 61.6% received single unit transfusion, 22.7% two units and 15.7% received more than two units transfusion. Overall there appeared to be a low threshold for red cell transfusion with 53% transfusion happened when hemoglobin below 7g/dL. The rate of inappropriate RBC transfusion in the present study was 3% according to RCOG guidelines.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Mohandoss Murugesan, Subbiah SP, A Descriptive One Year Study on Obstetric RBC Transfusion Practice from a Tertiary Care Centre, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-8 | August-2018

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