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Analysis Study Research Paper | Medical Surgical | India | Volume 14 Issue 1, January 2025 | Popularity: 5.6 / 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
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