BLOOD TRANSFUSION IN OBSTETRIC HAEMORRHAGE AND THEIR OUTCOME IN TERTIARY CARE HOSPITAL IN RURAL AREA
Journal of Evolution of Medical and Dental Sciences
BACKGROUND Obstetric haemorrhage remains the main cause of maternal mortality and morbidity, even though advanced medical and surgical managements and blood transfusions are available. Haemorrhagic shock is a very serious complication. Obstetric haemorrhage occur either in antepartum, intrapartum or postpartum period. Here, our aim is to study the outcome of blood transfusion in obstetric haemorrhage patients. Study Method-Retrospective observational study. MATERIALS AND METHODS In present
... ODS In present study, 250 patients of obstetric haemorrhage who were in antepartum, intrapartum and postpartum period were included. Amount of various blood transfusion products used were noted. Patient's outcome like safe discharge, morbidity and mortality were noted. RESULTS 1423 units of blood and blood components transfusion was done on 250 obstetric haemorrhage patients. Out of 250 patients 228 patients were discharged in stable condition, 4 patients were referred to higher centres for dialysis and 18 maternal mortality was noted. CONCLUSION The management of obstetric haemorrhage is a challenging task which needs a team work of improved obstetric care, anaesthesiologist support, timely interventions, availability of blood and blood products and intensive care unit. KEYWORDS Obstetric haemorrhage, maternal outcome, blood transfusion. HOW TO CITE THIS ARTICLE: Ganapathy V, Shunmugavelu RVK. Blood transfusion in obstetric haemorrhage and their outcome in tertiary care hospital in rural area. BACKGROUND Obstetric haemorrhage is the main cause of maternal morbidity and mortality. WHO data indicates haemorrhage accounts for 35% of maternal mortality. Antepartum, intrapartum and postpartum haemorrhage can be managed effectively by the management of obstetric cause of bleeding and blood transfusion. The aim of the study was to determine the outcome of blood transfusion in obstetric haemorrhage patients. who underwent surgery in emergency operation theatre. These patients were under antepartum, intrapartum and postpartum periods. Ectopic rupture and abortion in early pregnancy; abruption and placenta previa in late pregnancy; intrapartum and postpartum atonic PPH, traumatic PPH and secondary PPH.