Abstract: Introduction: Blood transfusion services are vital to maternal health because obstetric haemorrhage has been the foremost cause of maternal mortality in India. 1 Common obstetric emergencies which require blood and blood components transfusion are acute blood loss in first half of pregnancy due to conditions like complications of abortions, ectopic pregnancy rupture and vesicular mole.
Material and Methods: This is prospective study conducted at conducted at Department of Obstetrics and Gynaecology, Subbaiah Institute of Medical Sciences, over a period of 1 year. Inclusion criteria: All patients requiring intrapartum transfusion of blood or blood products are enrolled in the study. Exclusion Criteria: No exclusion criteria.
Result: In our study, various age groups of patients were enrolled. Maximum transfusion rates are seen in the age group of 21-30 years. Multigravida are at more risk for requiring transfusion Patients with irregular Antenatal care (ANC) visits are more prone to obstetric complications, because of lack of awareness of proper ANC care. More than half of the cases had anaemia in moderate range. Post-Partum Haemorrhage (PPH) is the commonest indication requiring blood transfusion followed by Antepartum haemorrhage (APH) and Pregnancy induced hypertension (PIH) Emergency procedure are at more risk of requiring transfusion. Most of the patients were in the moderate anaemia range, only packed red cell transfusion sufficed the haemostatic requirement.
Conclusion: Blood transfusion is lifesaving essential component of obstetric care. Acute obstetric blood loss is usually unpredictable and sudden. The decision to transfuse should be time taken to maintain adequate tissue oxygenation in the face of acute hemorrhage. Identifying the risk factors for hemorrhage in antenatal period and anticipating bleeding is essential in managing obstetric hemorrhage. A preplanned, multidisciplinary protocol yields the best results in the.
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