Summary:
Background: Blood transfusion is a life saving intervention
in some obstetric and gynecological cases but is associated
with risk of transfusion reaction and transmission of infection
. Appropriate use of blood and blood products is of utmost
importance for the safety of the patients. During the
evaluation of an ongoing study on PPH,it appears that rate
of blood transfusion is unexpectedly high in this centre,
which raised the inquisitiveness in evaluating the rate and
rationality of blood transfusion in present practice.
Objective : To determine the incidence of blood transfusion
in admitted and operated cases and is also to evaluate the
indication of transfusion among the study patients.
Subject and Method: It was an observational descriptive
study, conducted from 1st April 2012 to 30th June 2012 in
department of obstetrics and gynecology of Ad-din Women
Medical College Hospital , Dhaka . Total 256 cases were
included for the study, who received blood and /or blood
products during the study period.
Results: Transfusion rate in total admitted patients was 9.23%
. Most common indication for blood transfusion in obstetric
patients was mild preoperative anaemia with or without
excessive bleeding during cesarean section (63.92%) and
second common cause was antenatal anaemia (24.05%). In
gynecological cases abortion (45.91%) was the commonest
indication for blood transfusion and next common
conditions were total abdominal hysterectomy
(20.40%),vaginal hysterectomy (7.14%), ectopic pregnancy
and post coital tear (6.12%) and( 6.12%).
Conclusion: In this study it was observed that, blood
transfusion was not appropriate in all cases, specially in
cases where single unit blood was transfused . So creation of
awareness among the junior doctors, obstetricians, nurses –
midwives is essential by developing regular education and
training programme .
Key wards: Blood transfusion, Obstetrics and Gynaecology.
(J Banagladesh Coll Phys Surg 2016; 34: 9-14)