A RETROSPECTIVE ANALYSIS OF TRANSFUSION MANAGEMENT IN OBSTETRICS IN A TERTIARY CARE CENTER

Dr Jharna Behura Md MRCOG, Dr Anjali Mathur

Abstract


BACKGROUND: Severe Anaemia in pregnancy and obstetric haemorrhage remain major causes of
maternal mortality and morbidity in developing countries. Blood transfusion is a lifesaving intervention
responsible for decreasing maternal mortality signicantly.
METHODS: This was a retrospective study of 502 patients who received blood transfusion from January 2019 to October
2019.Hb concentration < 7g/dl was determined to be an indication for transfusion of blood product.
RESULTS: The most common indication for blood transfusion was anaemia correction in antenatal and intrapartum (65.3%)
period followed by obstetric haemorrhage (34.6%). Antepartum transfusions were given in (25. 2%).Intrapartum and
postpartum transfusions in (74.7%). The commonest cause in obstetric haemorrhage was PPH (51. 7%).Major and massive
obstetric haemorrhage occurred in (4.02%).
CONCLUSION: Severe anaemia in pregnancy needs to be diagnosed and treated early to signicantly reduce the need of
blood transfusion in developing countries. The safety, adequacy and effectiveness can only be achieved if unnecessary
transfusions can be prevented.


Keywords


Blood Transfusion, Anaemia, Obstetric Haemorrhage

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References


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