A retrospective analysis of transfusion management in Obstetrics in a tertiary care center

Dr Jharna Behura; Dr Anjali Mathur

Volume : VIII, Issue : XII, December - 2019

A retrospective analysis of transfusion management in Obstetrics in a tertiary care center

Dr Jharna Behura, 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 significantly. 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 significantly reduce the need of blood transfusion in developing countries. The safety, adequacy and effectiveness can only be achieved if unnecessary transfusions can be prevented.