Evaluating Blood Transfusion Protocols and Practices in Obstetric Care A Study of Iraqi Hospitals.
Keywords:
Blood transfusion; Obstetric patients; Mode of delivery; Protocols and Practices; and complications
Abstract
Blood transfusion is an essential part of patient care in obstetrics and gynaecology. Blood transfusion procedures need to be evaluated regularly to identify opportunities for improvement. The objective of this article is to evaluate the clinical outcomes of blood transfusion protocols and practices in the context of obstetric care in Iraqi hospitals.110 women who gave birth vaginally or caesarean over a six-month period were the subjects of a prospective study conducted at hospitals in Baghdad, Iraq. Obstetric patients during the peripartum phase and gynecological hospitalizations who had blood transfusions were included in the study's discussion of blood transfusion guidelines and practices for obstetric care. Records were kept on the patient's attributes, type of blood, pretransfusion packed cell volume (PCV), transfusion indication, blood product utilized, number of pints, and donor group. A total of 110 pregnant women who had blood transfusions were included in this study. Anemia and antepartum hemorrhage were the main reasons for transfusions in obstetrics patients. 70.91% of women with whole blood, while 29.09% with sedimented blood. Blood transfusion rates were comparatively high, with obstetric rates being higher. Blood transfusions were indicated mostly for hemorrhage in obstetrics and chronic anemia in gynecology.
References
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Eyelade OR, Adesina OA, Adewole IF, Adebowale SA. Blood transfusion requirement during caesarean delivery: Risk factors. Ann Ib Postgrad Med 2015; 13:29-35.
Napolitano LM, Kurek S, Luchette FA, Corwin HL, Barie PS, Tisherman SA, et al. Clinical practice guideline: Red blood cell transfusion in adult trauma and critical care. Crit Care Med 2009; 37:3124-57.
Bose P, Regan F, Paterson Brown S. Improving the accuracy of estimated blood loss at obstetric haemorrhage using clinical reconstructions. BJOG 2006; 113:919-24.
Dildy GA 3rd, Paine AR, George NC, Velasco C. Estimating blood loss: Can teaching significantly improve visual estimation? Obstet Gynecol 2004; 104:601-6.
Duthie SJ, Ven D, Yung GL, Guang DZ, Chan SY, Ma HK. Discrepancy between laboratory determination and visual estimation of blood loss during normal delivery. Eur J Obstet Gynecol Reprod Biol 1991; 38:119-24.
Patterson JA, Roberts CL, Bowen JR, Irving DO, Isbister JP, Morris JM, et al. Blood transfusion during pregnancy, birth, and the postnatal period. Obstet Gynecol 2014; 123:126-33.
Singh RK, Anne S, Ravindran SP. Changing trends of blood requirements in obstetrics and gynaecology. Int J Reprod Contracept Obstet Gynecol 2018; 7:2018-22.
Reshma L, Sreelatha S. Role of blood transfusion in obstetrics. Trop J Obstet Gynaecol 2019; 36:330-7.
Biggin K, Warner P, Prescott R, McClelland B. A review of methods used in comprehensive, descriptive studies that relate red blood cell transfusion to clinical data. Transfusion 2010; 50:711-8.
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Matsunaga S, Seki H, Ono Y, Matsumura H, Murayama Y, Takai Y, et al. A retrospective analysis of transfusion management for obstetric haemorrhage in a Japanese obstetric centre. ISRN Obstet Gynecol 2012; 2012:854064.
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Okoroiwu HU, Okafor IM. Demographic characteristics of blood and blood components transfusion recipients and pattern of blood utilisation in a tertiary health institution in southern Nigeria. BMC Hematol 2018; 18:16.
Mafirakureva N, Khoza S, Hassall O, Faragher BE, Kajja I, Mvere DA, et al. Profiles of blood and blood component transfusion recipients in Zimbabwe. Blood Transfus 2015; 13:600-9.
Balki M, Dhumne S, Kasodekar S, Carvalho JC, Seaward G. Blood transfusion for primary postpartum haemorrhage: A tertiary care hospital review. J Obstet Gynaecol Can 2008; 30:1002-7.
Begum M. Emergency blood transfusion in obstetric patients. Int J Gynecol Obstet 2012; 119: S295.
Haeri S, Dildy GA 3rd. Maternal mortality from haemorrhage. Semin Perinatol 2012; 36:48-55.
Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, et al. Global causes of maternal death: A WHO systematic analysis. Lancet Glob Health 2014; 2: e323-33.
WHO, Blood Transfusion Safety. The Clinical Use of Blood: Handbook. Geneva: World Health Organisation; 2001 (Reprinted 2014). p. 3.
Ekeroma AJ, Ansari A, Stirrat GM. Blood transfusion in obstetrics and gynaecology. Br J Obstet Gynaecol 1997; 104:278-84.
Chawla S, Bal MH, Vardhan BS, Jose CT, Sahoo I. Blood transfusion practices in obstetrics: Our experience. J Obstet Gynaecol India 2018; 68:204-7.
Thurn L, Wikman A, Westgren M, Lindqvist PG. Massive blood transfusion in relation to delivery: Incidence, trends and risk factors: A population-based cohort study. BJOG 2019; 126:1577-86.
Akingbola TS. Obstetric emergencies and transfusion needs in a Nigerian hospital. Hematol Transfus Int J 2016; 2:107-10.
Eyelade OR, Adesina OA, Adewole IF, Adebowale SA. Blood transfusion requirement during caesarean delivery: Risk factors. Ann Ib Postgrad Med 2015; 13:29-35.
Napolitano LM, Kurek S, Luchette FA, Corwin HL, Barie PS, Tisherman SA, et al. Clinical practice guideline: Red blood cell transfusion in adult trauma and critical care. Crit Care Med 2009; 37:3124-57.
Bose P, Regan F, Paterson Brown S. Improving the accuracy of estimated blood loss at obstetric haemorrhage using clinical reconstructions. BJOG 2006; 113:919-24.
Dildy GA 3rd, Paine AR, George NC, Velasco C. Estimating blood loss: Can teaching significantly improve visual estimation? Obstet Gynecol 2004; 104:601-6.
Duthie SJ, Ven D, Yung GL, Guang DZ, Chan SY, Ma HK. Discrepancy between laboratory determination and visual estimation of blood loss during normal delivery. Eur J Obstet Gynecol Reprod Biol 1991; 38:119-24.
Patterson JA, Roberts CL, Bowen JR, Irving DO, Isbister JP, Morris JM, et al. Blood transfusion during pregnancy, birth, and the postnatal period. Obstet Gynecol 2014; 123:126-33.
Singh RK, Anne S, Ravindran SP. Changing trends of blood requirements in obstetrics and gynaecology. Int J Reprod Contracept Obstet Gynecol 2018; 7:2018-22.
Reshma L, Sreelatha S. Role of blood transfusion in obstetrics. Trop J Obstet Gynaecol 2019; 36:330-7.
Biggin K, Warner P, Prescott R, McClelland B. A review of methods used in comprehensive, descriptive studies that relate red blood cell transfusion to clinical data. Transfusion 2010; 50:711-8.
Borkent Raven BA, Janssen MP, van der Poel CL, Schaasberg WP, Bonsel GJ, van Hout BA. The PROTON study: Profiles of blood product transfusion recipients in the Netherlands. Vox Sang 2010; 99:54-64.
Musa AU, Ndakotsu MA, Hassan A, Klish A, Kwaifa IK. Pattern of blood transfusion request and utilisation at a Nigerian University teaching hospital. Sahel Med J 2014; 171:19-22.
Wells AW, Llewelyn CA, Casbard A, Johnson AJ, Amin M, Ballard S, et al. The EASTR Study: Indications for transfusion and estimates of transfusion recipient numbers in hospitals supplied by the National Blood Service. Transfus Med 2009; 19:315-28.
Anorlu RI, Orakwe CO, Abudu OO, Akanmu AS. Uses and misuse of blood transfusion in obstetrics in Lagos, Nigeria. West Afr J Med 2003; 22:124-7.
Chowdhury F, Akhter S, Islam A, Rayen J, Begum N, Begun F. Evaluation of blood transfusion practices in obstetrics and gynaecology in a tertiary hospital in Bangladesh. J Bangladesh Coll Phys Surg 2016; 34:9-14.
Gulucu S, Uzun KE. Evaluation of blood transfusion rate in obstetric patients. Ginekol Pol 2022; 93:637-42.
Matsunaga S, Seki H, Ono Y, Matsumura H, Murayama Y, Takai Y, et al. A retrospective analysis of transfusion management for obstetric haemorrhage in a Japanese obstetric centre. ISRN Obstet Gynecol 2012; 2012:854064.
Gupte SC, Patel PN. Blood transfusion practice in obstetrics and gynaecology: Impact of educational programs to create awareness for judicious use of blood components. Indian J Hematol Blood Transfus 2014; 30:175-9.
World Health Organisation (WHO). Blood Safety and Availability; 2017. Available from: http://www.who.int/news-room/factsheets/detail/blood-safety-and-availability. [Last accessed on 2018 Jun 25].
Okoroiwu HU, Okafor IM. Demographic characteristics of blood and blood components transfusion recipients and pattern of blood utilisation in a tertiary health institution in southern Nigeria. BMC Hematol 2018; 18:16.
Mafirakureva N, Khoza S, Hassall O, Faragher BE, Kajja I, Mvere DA, et al. Profiles of blood and blood component transfusion recipients in Zimbabwe. Blood Transfus 2015; 13:600-9.
Balki M, Dhumne S, Kasodekar S, Carvalho JC, Seaward G. Blood transfusion for primary postpartum haemorrhage: A tertiary care hospital review. J Obstet Gynaecol Can 2008; 30:1002-7.
Published
2024-12-09
How to Cite
Zaydoon Saladdin Aziz, Zainab Jaber Al-Budairiı, Muna Abdullah Najm, Abbas Abdul Wahhab Jumaah Al-Salihi, & Ali Qais Abdulkafi. (2024). Evaluating Blood Transfusion Protocols and Practices in Obstetric Care A Study of Iraqi Hospitals. Central Asian Journal of Medical and Natural Science, 6(1), 121-128. Retrieved from https://cajmns.centralasianstudies.org/index.php/CAJMNS/article/view/2678
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