The transfusion experience for a 1-year period (1998) at a large district general maternity unit was reviewed retrospectively. There were 5266 deliveries and 128 women received a blood transfusion (2.4%). The commonest reason for transfusion was retained placenta and/or membranes (49%) with low postnatal haemoglobin (29.6%) and uterine atony (11.7%) being the next most frequent indications. The highest rate of transfusion (10%) was seen in women delivered by forceps and the lowest (1.3%) with normal deliveries. This rate is higher than those reported in the literature. A prospective review is indicated, in parallel with the development and distribution of good practice guidelines.
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