Study of Utilization Pattern of Blood And Blood Components in Obstetrics at A Tertiary Care Hospital

[摘要] Background: Blood transfusion is a life-saving procedure, but inappropriate use of blood and itscomponents in obstetric emergencies, especially in cases of massive bleeding, increases the risk ofmorbidity and mortality. The aim of this study was to describe the determinants of blood and bloodcomponents in obstetrics in a tertiary care hospital with indications for transfusion for differentcomponents during the study.Subjects and Method: A Prospective Observational study was carried from May 2018 to December2019 at Department of Obstetrics and Gynaecolog,T.N.M.C & B.Y.L.Nair Hospital Mumbai. Theindependent variables are sociodemographic characteristics, parity, mode of delivery, education,hospital level, while dependent variables are frequency of obstetric transfusion. Frequency oftransfusion of blood and its components obtained from case file of patient. The other data werecollected by questionnaire. Analysis of 366 Obstetric patients requiring blood transfusion in eighteenmonths period was done. Qualitative data were presented as frequency and percentages and analysedusing the chi-square test.Results: During the whole study 366 of obstetric admission required transfusion of blood and itscomponents. Severe anaemia during pregnancy/postpartum anaemia (51%) were the most commonindications for blood product transfusions followed by Accidental Haemorrhage (30%), Caesareansection (10.38%) Genital tract trauma including uterine rupture (11%), Postpartum Haemorrhage’s(13%), Placenta previa (6.5%), Ectopic pregnancies (3.5%), Vesicular mole (3.27%), Retainedplacenta (3.27%) Ruptured uterus (1%), and Abortion (2.7%). Packed cells (47%) were the mostcommon type of blood and blood products transfused followed by Fresh Frozen Plasma (41.86%).Conclusion: : In obstetric emergencies, correct diagnosis and management of emergencies, A preplanned, multidisciplinary protocol yields excellent effects in the management.

[学科分类] 食品科学和技术

[关键词] blood transfusion;pregnancy;anaemia;obstetric emergencies