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Case Studies | Obstetrics and Gynecology | India | Volume 14 Issue 2, February 2025 | Rating: 5.2 / 10
An Analysis of Blood Transfusion Practices in Emergency Obstetrics: A Cross - Sectional Study from a Tertiary Care Health Centre of Eastern India
Dr. Priyanka Mohanty, Dr. S. K. Behera, Dr. Pruthiraj Behera
Abstract: Introduction: Blood transfusion is essential in managing obstetric emergencies, where timely intervention with blood products can be life - saving for both mothers and fetuses. In India, haemorrhage remains a primary cause of maternal mortality, highlighting the need for reliable transfusion services, especially in resource - constrained settings. This study aims to assess the prevalence, indications, and outcomes of blood transfusions in emergency obstetrics at a tertiary care centre in Eastern India. Methods: This cross - sectional study was conducted over six months in the Department of Obstetrics and Gynaecology at HMCH Bhubaneswar. Ninety surgically operated obstetric patients aged over 18 years were recruited using convenient sampling based on a prior prevalence estimate of 18.4% for transfusions in emergencies. Patients who declined consent were excluded. Data on transfusion prevalence and indications were collected and analysed. Results: Among 1451 pregnant women presenting to the emergency obstetrics unit, 90 received transfusions, indicating a prevalence of 6.20%. The leading indication was postpartum haemorrhage (37%), followed by severe anaemia (30%). Conclusion: This study underscores the critical role of blood transfusion in managing acute obstetric haemorrhage and severe anaemia, which remain frequent and severe complications. Ensuring the availability of blood products is essential for reducing maternal mortality and morbidity in emergency settings. Emphasizing preventive measures, such as promoting adequate haemoglobin levels throughout pregnancy, may further mitigate these risks.
Keywords: blood transfusion, obstetric emergencies, maternal mortality, postpartum haemorrhage, severe anaemia
Edition: Volume 14 Issue 2, February 2025,
Pages: 827 - 829