Comparison of Various Factors Affecting Incidence of Blood Transfusion During Primary Cesarean Section in Primigravida and Multigravida
Journal Title: PARIPEX-Indian Journal of Research - Year 2016, Vol 5, Issue 8
Abstract
Background: Comparing various factors affecting the incidence of BT during PCS in primigravida and multigravida. Method: This was a prospective study. Data regarding various factors affecting BT were collected from all patients who had PCS and results were compared between primigravida and multigravida using chi square test of significance. RESULT: Multigravida had a higher incidence (15.27%) of BT compared to primigravida (2.94%). In primigravida antepartum eclampsia (28.57%) and failed progress (28.57%) were the most common indications. In multigravida, antepartum hemorrhage (76.2%) accounted for the same. Primigravida did not require more than 2 units of blood whereas 11.9% multigravida needed 3 or more units of BT. CONCLUSION: In primigravida, a proper antenatal monitoring would reduce the incidence of anemia and antepartum eclampsia. Active management of labor with partograph should be done. In multigravida, apart from these, antepartum hemorrhage is to be well managed perioperatively.
Authors and Affiliations
Dr. Shrutee Birla, Dr Vishnu Kumar Gupta
Keywords
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