BLOOD TRANSFUSION IN OBSTETRIC HAEMORRHAGE AND THEIR OUTCOME IN TERTIARY CARE HOSPITAL IN RURAL AREA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 69
Abstract
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 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.
Authors and Affiliations
Vijaya Ganapathy, Rani Vasantha Kumari Shunmugavelu
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