Dar Shir, Vardi Ilana Shoham, Holcberg Gershon, Reuveni Haim, Yerushalmi Ronit, Katz Miriam, Sheiner Eyal
Department of Obstetrics and Gynecology, Faculty of Health Sciences, Soroka University Medical Center, Ben Gurion University of the Negev, Be'er-Sheva, Israel.
Int J Fertil Womens Med. 2006 Nov-Dec;51(6):270-3.
Routine post partum complete blood count examination (CBC) is customary in many medical centers. The rationale behind drawing a routine CBC is to estimate blood loss during delivery and to identify patients who will need blood transfusions. The present study was aimed to determine the necessity of routine post-partum CBC following vaginal delivery. A retrospective cohort study was performed including all patients who received blood transfusions following vaginal delivery between January 2003 and November 2004. Data were collected from birth files. The indications for administration of blood transfusions were noted. Of 20,694 vaginal deliveries, 0.7% (n = 138) received blood transfusions. All patients had at least one obstetric risk factor of postpartum hemorrhage or symptomatic anemia. None received the blood transfusion based upon postpartum CBC hemoglobin level alone. Routine postpartum CBC is not warranted for the purpose of identifying the patient in need of blood transfusions. Postpartum CBC should be performed when indicated according to risk factors for excessive blood loss or patients' complaints.
在许多医疗中心，产后常规全血细胞计数检查（CBC）是惯例。进行常规CBC的基本原理是估计分娩期间的失血量，并识别需要输血的患者。本研究旨在确定阴道分娩后进行常规产后CBC的必要性。进行了一项回顾性队列研究，纳入了2003年1月至2004年11月期间阴道分娩后接受输血的所有患者。数据从出生档案中收集。记录了输血的指征。在20694例阴道分娩中，0.7%（n = 138）接受了输血。所有患者至少有一项产后出血或症状性贫血的产科危险因素。没有患者仅根据产后CBC血红蛋白水平接受输血。为了识别需要输血的患者，常规产后CBC并无必要。应根据失血过多的危险因素或患者的主诉，在有指征时进行产后CBC。
