Kathpalia S K, Chawla Jaya, Harith A K, Gupta Priyanka, Anveshi Anupam
Consultant (Obst and Gynae), Base Hospital, Delhi Cantt 110010, India.
Associate Professor (Obst and Gynae), Army College of Medical Sciences, Delhi Cantt 110010, India.
Med J Armed Forces India. 2016 Dec;72(Suppl 1):S43-S45. doi: 10.1016/j.mjafi.2016.01.010. Epub 2016 Mar 29.
Many women die while going through childbirth; hemorrhage being common cause for maternal mortality. Many maternal deaths can be saved by building up hemoglobin antenatally and timely blood transfusion. The transfusion may result in many complications hence the blood transfusion practices should be streamlined and adhered to and reviewed periodically. This retrospective study was undertaken at one of the tertiary care hospital to find out the blood demand and utilization practices among the delivery cases and suggest measures if any to improve the existing practices.
The study was performed over two years; normal standard practice like in any other hospital is being followed. Urgent blood demand is requisitioned whenever there is an emergency like a patient having post partum hemorrhage or abruptio placenta etc. Blood demand forms, blood administration and delivery records were checked and analyzed.
121 cases were given blood transfusion indicating the incidence as 2.67% among total delivery cases, blood transfusion among elective CS cases was 1.58% and 3.84% in emergency cesarean section; 2.82% of vaginal delivery were given blood transfusion for various unforeseen indications.
In spite of taking all measures hemorrhage can still occur at times so perilous that it must be managed energetically and promptly. The mode of delivery has some influence on blood transfusion. It is suggested that blood demand could be restricted only to high risk cases both for normal delivery and CS. This will reduce the work load on blood banks and there by improve efficiency.
许多女性在分娩过程中死亡；出血是孕产妇死亡的常见原因。通过产前提高血红蛋白水平和及时输血，可以挽救许多孕产妇的生命。输血可能会导致许多并发症，因此输血操作应规范并严格遵守，且需定期审查。这项回顾性研究在一家三级护理医院进行，旨在了解分娩病例中的用血需求和用血情况，并提出改进现有做法的措施（如有）。
该研究进行了两年；遵循了与其他医院相同的正常标准做法。每当出现紧急情况，如患者发生产后出血或胎盘早剥等，都会紧急申请用血。检查并分析了用血申请表、输血记录和分娩记录。
121例患者接受了输血，占总分娩病例的2.67%，择期剖宫产病例的输血率为1.58%，急诊剖宫产为3.84%；2.82%的阴道分娩患者因各种意外情况接受了输血。
尽管采取了所有措施，但有时仍可能发生危险的出血情况，必须积极迅速地进行处理。分娩方式对输血有一定影响。建议仅对正常分娩和剖宫产的高危病例进行用血申请。这将减轻血库的工作负担，从而提高效率。
