Abstract

Introduction: Allowable blood loss (ABL) estimates the maximum permitted loss of blood to reach a transfusion threshold and is commonly used for surgery where major haemorrhage is expected. [1] Gross JB. Estimating allowable blood loss: corrected for dilution. Anesthesiology 1983;58:277-80. Google Scholar A validated version of this formula is not available for pregnant patients ahead of caesarean section (CS) who have altered physiology and an anticipated autotransfusion of uterine blood. [2] Surbeck D, Vial Y, Girard T. Patient blood management in pregnancy and childbirth: a literature review and expert opinion. Arch Gynecol Obstet 2020;301:627-41. Google Scholar We aimed to build a statistical model that could accurately predict ABL for CS. Methods: Caesarean sections in 2019 undertaken in our hospital were reviewed from a Caldicott Guardian approved database. The variables included were: maternal age (years), booking weight (kg), body mass index (BMI) (kg/m2), preoperative haemoglobin concentration (g/L), lowest postoperative haemoglobin concentration, and estimated blood loss (mL) were included in a linear regression model to predict blood loss.

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