Downloads: 8 | Views: 121 | Weekly Hits: ⮙1 | Monthly Hits: ⮙8
Analysis Study Research Paper | Medical Surgical | India | Volume 14 Issue 1, January 2025 | Popularity: 5.7 / 10
Prevalence of Blood Transfusions in Term Pregnancies undergoing Lower Segment Cesarean Section: A Retrospective Study
Dr. Vijaymala Sherkhane, Dr. Tushar Palve, Dr. Rajashree Thatikonda
Abstract: Background: Obstetric hemorrhage is a leading cause of maternal morbidity and mortality worldwide, and caesarean section (CS) is associated with increased risk of significant blood loss, often requiring blood transfusion. Identifying preoperative risk factors associated with blood transfusion may improve maternal outcomes, particularly in resource-limited settings. Aim & Objective: To determine the prevalence of blood transfusion in women undergoing caesarean section and identify associated preoperative risk factors. Methods: A retrospective cross-sectional study was conducted at Cama Albless Hospital, including all consecutive patients undergoing caesarean section from February to October 2024. The primary outcome variable was the prevalence of blood transfusion, and multivariable analysis was performed to identify independent risk factors for blood transfusion. Results: A total of 1008 women were included in the study, of whom 108 (10.7%) received a blood transfusion. Women with a history of previous caesarean section or abdominal surgery had a significantly higher transfusion rate (72.2%) compared to those without a scar (27.7%). The main risk factors for blood transfusion included lower preoperative Hb level (40.7%), higher intraoperative blood loss (35%), hypertensive disorders of pregnancy (9.2%), placenta previa (5%), blood disorders (5%), and multiple gestation (4%). Conclusion: The risk of blood transfusion in caesarean sections is high, particularly in parturients with preoperative maternal anemia, hypertensive disorders of pregnancy, multifetal pregnancies, placenta previa, and blood disorders. Adequate preoperative preparation, including optimizing maternal hemoglobin levels during antenatal care, is essential to reduce the incidence of transfusion-related complications in caesarean deliveries.
Keywords: Blood transfusion, cesarean section, postpartum hemorrhage, risk factors, anemia, hypertensive disorders, placenta previa, maternal morbidity
Edition: Volume 14 Issue 1, January 2025
Pages: 671 - 676
DOI: https://www.doi.org/10.21275/MR25114193807
Make Sure to Disable the Pop-Up Blocker of Web Browser
Similar Articles
Downloads: 2 | Weekly Hits: ⮙2 | Monthly Hits: ⮙2
Case Studies, Medical Surgical, India, Volume 13 Issue 12, December 2024
Pages: 486 - 488Scar Endometriosis: A Rare Case Presentation
Dr. Tanvi Vaghela, Dr. Veena Aseeja, Dr. Harjinder Singh
Downloads: 105
Case Studies, Medical Surgical, India, Volume 4 Issue 12, December 2015
Pages: 1402 - 1404Comparison: The Effect of Ephedrine and Phenylephrine in Treatment of Hypotension after Spinal Anesthesia during Cesarean Section
Dr. Asim Shekhar, Dr. Olvyna D Souza
Downloads: 114
Research Paper, Medical Surgical, India, Volume 6 Issue 1, January 2017
Pages: 2275 - 2278A Prospective Study of 50 Cases of Abdominal Wound Dehiscence - Etiology & Its Management
Dr. J G Bhatt, Dr. A D Desai, Dr. J P Dave
Downloads: 118
Case Studies, Medical Surgical, India, Volume 4 Issue 2, February 2015
Pages: 1076 - 1079PECOMA - A Histological Surprise
Dr. Ashwin Kumar C MBBS, Dr. Manohar V Pai MBBS MS, Dr. Flora D Lobo
Downloads: 124
Case Studies, Medical Surgical, Albania, Volume 5 Issue 7, July 2016
Pages: 1615 - 1618Primary Small Bowel Melanoma. Literature Review and a Case Report
Alma Llukacaj, Henri Kolani, Etmont Celiku, Eljona Xhelili