Study of blood component therapy in a tertiary level care hospital in Ghaziabad

Abstract

Introduction: Pregnancy and labour present with many complications, which result in extra blood loss causing hemodynamic instability. This leads to a need of blood transfusion in the day-to-day practice of obstetrics. In a low resource country like India it becomes necessary to titrate the use of Blood components. With this in background we aim to study the usage of blood components in obstetrics in our hospital. Methodology: It was an Observational cross sectional study. All obstetric patients who were transfused with blood components in the Department Of Obstetrics and Gynaecology in the hospital from January 2018 - September 2019 were recruited in the study. The indications, components transfused and indications of single unit transfusion were noted. Results: Transfusion rate was found to be 3.1%. Anaemia and postpartum haemorrhage were the major causes for blood and blood product transfusion. Single unit transfusion was 55.1%. Anaemia in pregnancy was the major indication of single unit PRBC transfusion. Conclusion: There must be a focus on reduction of unnecessary transfusions especially in conditions, which can be managed effectively by other means. Keywords: Blood Transfusion in obstetrics, Single unit transfusion, Blood components, Active management of third stage of labour