Evaluation of blood transfusion practice in obstetrics and gynaecology at a tertiary hospital in Port Harcourt, Nigeria

Simeon C. Amadi, P. Awoyesuku, H. Omunakwe, Linda Dublin-Green, U. Ocheche, Chinweowa Ohaka
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引用次数: 1

Abstract

Background: Blood transfusion is an important part of patient management in obstetrics and gynaecology. There is a need to periodically assess blood transfusion practices in order to identify areas for improvement. Objectives: This study aimed to determine the rate of blood transfusion, indications, local use pattern, and variability of blood type transfused. Patients, Materials and Methods: A prospective observational study over six months was conducted at the Rivers State University Teaching Hospital. Obstetric patients in the peripartum period and gynaecological admissions who underwent blood transfusion were included. The patients' characteristics, blood type, pretransfusion packed cell volume (PCV), indication for transfusion, blood product used, number of pints, and donor group were recorded. Analysis was performed using SPSS version 23, and statistical significance was set at P < 0.05. Results: Overall, 84 out of 1000 patients were transfused, giving a rate of 8.4%, 7.4% in obstetric patients, and 13% in gynaecological patients. Haemorrhage was the main reason for transfusions in obstetrics 40 (65.6%), made up of postpartum haemorrhage 27 (44.3%) and antepartum haemorrhage 13 (21.3%), while antepartum anaemia was 17 (27.9%). In gynaecology, chronic anaemia was the main reason for transfusions 10 (43.5%), while acute haemorrhage was 7 (30.4%). Blood components used were whole blood 66.7% (56/84) and sedimented blood 33.3% (28/84) only. About a quarter of the patients who received blood transfusion, had a pretransfusion PCV of 25% or more (20/84) and received only one pint of blood (21/84). Conclusion: The rate of blood transfusion was relatively high, with gynaecology rates higher than obstetric. The indication for blood transfusion in obstetrics was mainly haemorrhage, while in gynaecology, it was chronic anaemia.
对尼日利亚哈科特港一家三级医院妇产科输血实践的评价
背景:输血是妇产科患者管理的重要组成部分。有必要定期评估输血做法,以确定需要改进的领域。目的:本研究旨在确定输血率、适应证、当地使用模式和输血血型的可变性。患者、材料和方法:在河流州立大学教学医院进行了为期六个月的前瞻性观察研究。围产期产科患者和接受输血的妇科住院患者也包括在内。记录患者的特征、血型、输血前堆积细胞体积(PCV)、输血指征、使用的血液制品、血品数、供血组。采用SPSS version 23进行分析,差异有统计学意义,P < 0.05。结果:1000例患者中有84例输血,输血率为8.4%,产科患者为7.4%,妇科患者为13%。出血是产科输血的主要原因40例(65.6%),其中产后出血27例(44.3%),产前出血13例(21.3%),产前贫血17例(27.9%)。在妇科,慢性贫血是输血的主要原因10(43.5%),急性出血7(30.4%)。血液成分中全血占66.7%(56/84),沉淀血占33.3%(28/84)。约四分之一接受输血的患者输血前PCV为25%或更高(20/84),仅接受1品脱血液(21/84)。结论:输血率较高,妇科输血率高于产科输血率。产科输血指征以出血为主,妇科输血指征以慢性贫血为主。
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来源期刊
自引率
0.00%
发文量
65
审稿时长
20 weeks
期刊介绍: The Nigerian Journal of Medicine publishes articles on socio-economic, political and legal matters related to medical practice; conference and workshop reports and medical news.
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