Optimal and judicious blood transfusion usage - a mandate to save maternal lives
Surekha Atul Tayade, Pranali Thool, Nitin Gangane, Jaya Kore, Neha Gangane
Objectives: This study was carried out to see the incidence and indications of transfusion of blood and blood components in obstetrics at a tertiary care hospital. Material and Methods: Hospital information system was used to identify obstetric patients requiring blood transfusion over a period of one year and data were analyzed to determine the incidence and indications for blood transfusion. Results: Of the total blood transfusion requirements in the hospital, 13.52 % were for obstetric patients. Overall, 6.13% of obstetric admissions required blood/component transfusion. Severe anaemia (38.88%), accidental haemorrhage (11.11%), postpartum haemorrhage (14.31%), placenta previa (6.19%) and caesarean section (8.76%) were the common indications for blood transfusion. Component transfusion was needed in 81.32 %. Two or more units of transfusion were needed in 86.97 % women and massive transfusion was required in 13.24 %. Conclusion: In the present study, availability of blood and components were seen to be the main determinant which contributed in saving maternal lives. The main indications of blood transfusion was severe anemia and obstetric haemorrhage of various forms and etiology were the other common indications. Not only whole blood but component transfusion was instrumental in correcting specific deficiency.