STUDY OF INDICATIONS OF BLOOD COMPONENTS IN OBSTETRIC HEMORRHAGE AT A TERTIARY CARE CENTRE IN SOUTH INDIA

Dr. Sushama D.; Dr. Kumari K.C. Usha; Dr. Anumole Jose

Volume : IX, Issue : VIII, August - 2020

STUDY OF INDICATIONS OF BLOOD COMPONENTS IN OBSTETRIC HEMORRHAGE AT A TERTIARY CARE CENTRE IN SOUTH INDIA

Dr. Sushama D. , Dr. Kumari K. C. Usha, Dr. Anumole Jose

Abstract :

Blood transfusion is an essential part of management of many indications in obstetrics. A prospective study was conducted with objectives to portray the indications, mean usage and inter-relationship of blood components in obstetric hemorrhages. Out of total 10063 obstetric patients, 405 patients (N) required transfusion (4.02% incidence). Detailed clinical and transfusion history and management was recorded and analyzed. A total of 1386 units (55% packed red cells, 19% platelet concentrates, 24% fresh frozen plasma and 2% cryoprecipitate) of blood components were used to treat obstetric hemorrhage cases. Most common indication for blood transfusion was observed to be uterine atony (37%) followed by auption (18.5%) and genital tract trauma during delivery (14.8%) and other causes. A strong positive correlation of PRC usage was observed with the number of units (usage) of PC, FFP and Cryoprecipitate units transfused to the patients with obstetric hemorrhage (P<0.00001; P<0.00001 and P=0.002786 respectively). Most common indication for transfusion of blood components was uterine atony. Maximum mean usages of packed red cells, platelet concentrate and fresh frozen plasma were for placenta accreta/percreta/increta.