The Necessity of Type and Screen Result Prior to Proceeding to Operating Room for Scheduled Cesarean Delivery in a Low Hemorrhage Risk Population [ID 2683392

Abstract

INTRODUCTION: Delays in the operating room (OR) on labor and delivery are common. This leads to inefficiency, patient, and physician dissatisfaction and financial ramifications. One root cause of OR delays involves waiting for type and screen results prior to wheels into the OR. Our objective was to determine whether a type and screen result is necessary prior to wheeling into the OR. METHODS: This was an IRB-approved retrospective cohort study conducted at a single state sponsored academic institution. Chart review was performed identifying all patients who had a scheduled cesarean delivery (CD) from August 1, 2022, through September 31, 2022. We identified all patients who received a blood transfusion intra-op or postoperatively. We excluded all patients who had a medium-risk hemorrhage score or greater. We then calculated timing of blood transfusion from wheels into the OR. RESULTS: We identified a total of 85 patients scheduled for CD. Of these, 7 patients required a blood transfusion, and 4/7 patients received a blood transfusion within 60 minutes of wheels into the OR. There were no patients with a low-risk hemorrhage score on admission who received a blood transfusion within 60 minutes of wheels into the OR. CONCLUSION: There were no patients with a low-risk hemorrhage score scheduled for CD required a blood transfusion within 60 minutes of wheels into the OR. This supports elimination of mandatory type and screen result prior to wheels in for patient scheduled for CD with a low-risk hemorrhage score.