Abstract
Objectives
To ascertain and analyze the indications for transfusion of blood components in obstetric practice at our center.
Materials and Methods
A prospective observational study was conducted to analyze the various indications for transfusion of blood components in a tertiary care hospital.
Results
1.3% of all obstetric patients from our center had blood components transfusion during the study period. Postpartum hemorrhage, placental causes and anemia are the commonest causes for need of transfusion in obstetric practice.
Similar content being viewed by others
References
Balki M, Dhumne S, Kasodekar S, et al.. Blood transfusion for primary postpartum hemorrhage: a tertiary care hospital review. J Obstet Gynaecol Can. 2008;30:1002–7.
Eyelade OR, Adesina OA, Adewole IF, et al. Blood transfusion requirement during caesarean delivery: risk factors. Ann Ib Postgrad Med. 2015;13:29–35.
Bates I, Chapotera GK, McKew S, et al. Maternal mortality in sub-Saharan Africa: the contribution of ineffective blood transfusion services. BJOG. 2008;115:1331–9.
Nyflot LT, Sandven I, Stray-Pedersen B, et al. Risk factors for severe postpartum hemorrhage: a case–control study. BMC Pregnancy Childbirth. 2017;17:17.
Prata N, Hamza S, Bell S, et al. Inability to predict postpartum hemorrhage: insights from Egyptian intervention data. BMC Pregnancy Childbirth. 2011;11:97.
Al-Zirqi I, Vangen S, Forsen L, et al. Effects of onset of labor and mode of delivery on severe postpartum hemorrhage. Am J Obstet Gynecol. 2009;201:273.
Vachhani JH, Joshi JR, Bhanvadia VM. Rational use of blood: a study report on single unit transfusion. Indian J Hematol Blood Transfus. 2008;24(2):69–71.
Carson JL, Carless PA, Hebert PC. Transfusion thresholds and other strategies for guiding allogeneic red blood cell transfusion. Cochrane Database Syst Rev. 2010;10:CD002042.
Carson JL, Hill S, Carless P, et al. Transfusion triggers: a systematic review of the literature. Transfus Med Rev. 2002;16(3):187–99.
Derek N. Transfusion Ten commandments. In: Handbook of transfusion medicine. 5th ed. Norwich: TSO Publishers; 2013. p. 1–3.
Chhabra S, Namgyal A. Rationale use of blood and its components in obstetric-gynecological practice. J Mahatma Gandhi Inst Med Sci. 2014;19:93–9.
Patel VP, Patel RV, Shah PT, et al. Study of role of blood transfusion in obstetric emergencies. Int J Reprod Contracept Obstet Gynecol. 2014;3(4):1002–5.
Ismail S, Siddiqui S, Shafiq F, et al. Blood transfusion in patients having caesarean section: a prospective multicentre observational study of practice in three Pakistan hospitals. Int J Obstet Anesth. 2014;23(3):253–9.
Prevention of Postpartum Hemorrhage Initiative. 2011. http://www.pphprevention.org/pph.php.
Balki M, Dhumne S, Kasodekar S. Blood transfusion for primary postpartum hemorrhage: a tertiary care hospital review. J Obstet Gynaecol Can. 2008;30:1002–7.
Millar C, Laffan M. Hemostatic changes in normal pregnancy. In: Cohen H, O’Brien P, editors. Disorders of thrombosis and hemostasis in pregnancy: a guide to management. London: Springer; 2015. p. 1–13.
Patil V, Shetmahajan M. Massive transfusion and massive transfusion protocol. Indian J Anaesth. 2014;58:590–5.
Borgman MA, Spinella PC, Perkins JG. The ratio of blood products transfused affects mortality in patients receiving massive transfusions at a combat support hospital. J Trauma. 2007;63:805–13.
James AH, Paglia MJ, Gernsheimer T. Blood component therapy in postpartum hemorrhage. Transfusion. 2009;49:2430–3.
Matsunaga S, Seki H, Ono, Y et al. A retrospective analysis of transfusion management for obstetric hemorrhage in a Japanese Obstetric Center. ISRN Obstet Gynecol. 2012; 2012: 854064. Published online 2012 Feb 6.
Butwick AJ, Aleshi P, Fontaine M. Retrospective analysis of transfusion outcomes in pregnant patients at a tertiary obstetric center. Int J Obst Anesth. 2009;18:302–8.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical statements
The authors that all procedures performed in this study involving human participants were in accordance with the ethical standards of institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed Consent
An informed consent was obtained from all the individual participants in the study.
Additional information
Sushil Chawla is a Surgeon Captain and Associate Professor in Department of Obstetrics and Gynaecology at AFMC; Maj H. K. Bal is an Assistant Professor in Department of Obstetrics and Gynaecology at AFMC; Brig Shakti Vardhan is a Professor and HOD in Department of Obstetrics and Gynaecology at AFMC; Col T. Jose is an Associate Professor in Department of Obstetrics and Gynaecology at AFMC; and Ipsita Sahoo is a Assistant Professor in Department of Obstetrics and Gynaecology at AFMC.
Rights and permissions
About this article
Cite this article
Chawla, S., Bal, M.H.K., Vardhan, B.S. et al. Blood Transfusion Practices in Obstetrics: Our Experience. J Obstet Gynecol India 68, 204–207 (2018). https://doi.org/10.1007/s13224-018-1092-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13224-018-1092-x