Abstract
Objective: To describe blood transfusion practices in obstetric at the Sylvanus Olympio University Hospital in Lomé. Patients and method: Prospective, cross-sectional and descriptive study, conducted from 1 June 2017 to 31 May 2018 at the gynecology-obstetrics department. The study focused on transfused pregnant, parturient and delivered women. Study parameters were sociodemographic, clinical, therapeutic and prognostic. Results: 252 patients, aged 16 to 49 with an average age of 30.4 years, referred in 74% of cases. Hemorrhage was observed in 238 cases (94.4%) and anemia in 14 cases (5.6%). Blood transfusion was urgently used in 89.7% of cases and hemorrhagic abortion was the main indication. Blood group O+ (34.5%) was the most used and blood products were obtained after two hours in 81% of cases. Conclusion: Blood transfusion is often performed urgently and for bleeding. But the Gynecology-Obstetrics department does not have any blood in reserve, whereas the Sylvanus Olympio University Hospital collection and distribution station covers less than 10% of the needs.
Highlights
IntroductionBlood transfusion is one of the functions of comprehensive emergency obstetric and neonatal care
The Gynecology-Obstetrics department does not have any blood in reserve, whereas the Sylvanus Olympio University Hospital collection and distribution station covers less than 10% of the needs
Hemorrhagic abortion was the main indication of blood transfusion in our study, followed by postpartum haemorrhage and retroplacental hematoma
Summary
Blood transfusion is one of the functions of comprehensive emergency obstetric and neonatal care It is essential for the management of severe bleeding and severe anemia during pregnancy, childbirth and postpartum. Lack of blood transfusion contributes to a quarter of maternal deaths in sub-Saharan Africa. It is associated with 14.5% of maternal deaths at the Kara University Hospital in Togo [6] [7]. To alleviate this shortage, African countries, like Togo, have set up national blood transfusion centers. The goal was to determine patient profiles, indications and factors associated with blood transfusion and maternal prognosis
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