Our Experience of Blood Transfusions in Patients with Moderate Anemia Undergoing Elective Cesarean Sections at Government Medical College, Ananthapuramu
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 8
Abstract
Introduction: Anemia during pregnancy increases the incidence of preterm labor, preeclampsia, sepsis. Anemia also effects fetal outcome in the form of preterm baby, IUGR, increased mortality rate. The aim of the present study was to evaluate the perioperative requirement of blood transfusions, complications and outcome of patients with Moderate anemia undergoing Elective Cesarean section. Material and Methods: This retrospective study is conducted over a period of one year from Jan 2015 to Dec 2015, in pregnant women with moderate anemia undergoing elective cesarean section. Data regarding patient details, hemoglobin estimation, cross matching, need of transfusions, multiple blood transfusions, any intra operative or post operative complications and outcome was assessed. Results: Number of patients with moderate anemia was 470 out of 557 elective LSCS patients. Out of 470 Elective LSCS cases with moderate anemia, 17 were in Group I(Hb <8 g/dl), 195 were in Group II (Hb 8-9 g/dl) and 258 were in Group III (Hb >9 g/ dl). 45 out of 470 Elective LSCS women with moderate anemia received blood transfusions. There was significant reduction in blood transfusions in Group II and III patients. Conclusion: It is safe always to cross match and preserve blood as there is a threat of ongoing blood loss per and post operatively; but restricted blood transfusion practices are advocated only in cases of hemodynamic instability perioperatively to avoid blood transfusion reactions and infection transmission (HBV, HIV).
Authors and Affiliations
J. Sandhya, Shamshad Begum, B. Renuka, S. Syamala Devi
Keywords
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