Abstract

Background: This study was undertaken to ascertain the total patients receiving a transfusion, indications for transfusion, various blood components used, the timing of transfusion, and the presence of any risk factors in the patients transfused.
 Methods: Transfusion request forms of 2998 patients admitted to the Department of Gynaecology and Obstetrics in the zanana Hospital, SMS Medical College and attached group of hospitals Jaipur from May 2020 to July 2020were retrospectively reviewed for the types and volume of blood component transfused. Indication for each blood component transfusion was noted. Patients who had MOH were further analyzed to estimate the ratio of components transfused.
 Results: We have experienced 898 obstetric patients who underwent blood component transfusion during the study period. Out of these, 440 (49%) and 458 (51%) were primigravida and multigravida respectively. The mean age of patients who received transfusion was 27 years. The maximum number of patients was in the age group of 21–32 years
 Conclusion: Anemia during pregnancy is a significant cause of maternal mortality and morbidity. The decision for transfusion was done in this study when the Hb<7 gm%, and there were <4 weeks for delivery or in labor
 Keywords: Hb, Anemia, Pregnancy.

Highlights

  • People have always been fascinated by blood: Ancient Egyptians bathed in it, aristocrats drank it, authors and playwrights used it as themes, and modern humanity transfuses it

  • The maximum number of patients was in the age group of 21–32 years Conclusion: Anemia during pregnancy is a significant cause of maternal mortality and morbidity

  • We have focused on red cell transfusion because it is the most common blood component used in obstetrics and gynecology with a critical examination of current trends in blood transfusion practice, indications for use of red cells, potential complications, and strategies for the reduction of unnecessary transfusion(1,3)

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Summary

Introduction

People have always been fascinated by blood: Ancient Egyptians bathed in it, aristocrats drank it, authors and playwrights used it as themes, and modern humanity transfuses it. The diagnosis and effective treatment of chronic anemia in pregnancy is an important way of reducing the need for future transfusions. The decision to transfuse blood should not be based on hemoglobin levels alone, and on the patient’s clinical need. Indication for each blood component transfusion was noted. Results: We have experienced 898 obstetric patients who underwent blood component transfusion during the study period. The mean age of patients who received transfusion was 27 years. The maximum number of patients was in the age group of 21–32 years Conclusion: Anemia during pregnancy is a significant cause of maternal mortality and morbidity. The decision for transfusion was done in this study when the Hb

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