Blood transfusion trends in obstetrics and gynaecology: an Uttar Pradesh government medical college-based study
DOI:
https://doi.org/10.18203/2320-6012.ijrms20242224Keywords:
Anemia, Blood components, Blood transfusionAbstract
Background: Blood transfusion holds utmost importance in comprehensive obstetric care and Gynaecology. The present study has been done to evaluate the indications of blood transfusion in the Obstetrics and Gynaecology Department.
Methods: The retrospective observational study was conducted between April 2023 to April 2024 in Department of Obstetrics and Gynaecology, Government Medical College, Saharanpur.
Results: A total of 257 units of Blood was transfused between April 2023 to April 2024 in Obstetrics and Gynaecology Department. 60.6% transfusion were in age group 21-30 years. 48.26% transfusion were in hemoglobin 7-9 gm/dl. Most common blood group transfused was B positive 40.79% and 85.2% transfusion were packed red blood cell, 84.07% had single unit blood transfusion, 57.25% had transfusion for anemia in pregnancy, 36.84% transfusion were for abnormal uterine bleeding.
Conclusions: Prevalence of anemia in reproductive age group is an important reason for blood transfusion in obstetrics and gynaecology. Hence emphasis should be to treat anemia through drugs to reduce unnecessary transfusion especially single unit transfusion.
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References
Dhot PS. Amendments to Indian drugs and cosmetics act and rules pertaining to blood banks in armed forces. Med J Armed Forces India. 2005;61(3):264-6.
DeMayor EM, Tegman A. Prevalence of anaemia in the world. World Health Stat Q. 1998;38(3):302-16.
Ekeroma AJ, Ansari A, Stirrat GM. Blood transfusion in obstetrics and gynaecology. BJOG. 1997;104(3):278-84.
Kalaivani K. Prevalence and consequences of anaemia in pregnancy. Ind J Med Res 2009;130:627-33.
Dickason LA, Dinsmoor MJ. Red blood cell transfusion and cesarean section. Am J Obstetr Gynecol. 1992;167(2):327-32.
Chawla S, Bal MHK, Vardhan BS, Jose CT, Sahoo I. Blood transfusion practices in obstetrics: our experience. J Obstet Gynecol India. 2018;68(3):204-7.
Fazal S, Poornima AP. A study on transfusion practice in obstetric hemorrhage in a tertiary care centre. Glob J Transfus Med. 2018;3(1):41-5.
Akinlusi FM, Rabiu KA, Durojaiye IA, Adewunmi AA, Ottun TA, Oshodi YA. Caesarean delivery-related blood transfusion: correlates in a tertiary hospital in Southwest Nigeria. BMC Pregn Childbirth. 2018;18:24.
Green L, Knight M, Seeney FM, HopkinsonC, Collins PW, Collis RE, et al. The epidemi-ology and outcomes of women with postpar-tum haemorrhage requiring massive transfu-sion with eight or more units of red cells: anational cross-sectional study. BJOG: Int J Obstet Gynaecol. 2016;123(13):2164-70.
Chhabra S, Namgyal A. Rationale use of blood and its components in obstetric-gynecological practice. J Mahatma Gandhi Institute Med Sci. 2014;19(2):93-9.
Agarwal M, Rongmei L, Agarwal S, Rajkonwar J. Blood transfusion trends in obstetrics: hospital based study. I Jour Med Health Sci. 2021;11(4):1633-8.
Hamm RF, Perelman S, Wang EY, Levine LD, Srinivas SK. Single-unit vs multiple-unit transfusion in hemodynamically stable postpartum anemia: a pragmatic randomized controlled trial. Am J Obstet Gynecol. 2021;224(1):84-7.
World Health Organization. Blood Transfusion Safety Team. The Clinical Use of Blood: Handbook; 2001:122-134.
Royal College of Obstetricians & Gynaecologists. Blood transfusion in obstetrics. Green-top Guideline. 2007;47:1-10.