Abdelazim Ibrahim, Farghali Mohamed, Amer Osama O
Department of Obstetrics, and Gynecology, Ain Shams University, Cairo, Egypt.
Ahmadi Hospital, Kuwait.
Prz Menopauzalny. 2021 Apr;20(1):29-33. doi: 10.5114/pm.2021.104474. Epub 2021 Mar 15.
This study designed to detect whether the routine haemoglobin (Hb) assay after uncomplicated caesarean section (CS) is necessary.
One hundred and twenty-two (122) women who delivered by uncomplicated elective CS were included in this observational study. Pre-operative investigations were performed according to the hospital protocol, including complete blood count, haemoglobin, prothrombin time, activated partial thromboplastin time, and liver and kidney function tests. After the uncomplicated elective CS, blood samples taken from participants immediately, 12, 24, 48 hours, and 1-week post-operative (PO) for haemoglobin assay. Student's -test was used to compare the pre-operative, and PO haemoglobins to detect whether or not the Hb assay after uncomplicated CSs is necessary.
There was no significant difference between the pre-operative haemoglobin (11.6 ± 6.4 gms%), and the immediate PO haemoglobin (11.1 ± 5.9; = 0.1 [95% CI: -1.05, 0.5, 2.05]) or 12-hour PO haemoglobin (10.9 ± 7.3; = 0.9 [95% CI: -1.03, 0.7, 2.43]) or 24-hour PO haemoglobin (10.7 ± 8.2; = 0.9 [95% CI: -0.95, 0.9, 2.75]). In addition, there was no significant difference between the pre-operative haemoglobin (11.6 ± 6.4 gms%), and 48-hour PO haemoglobin (11.2 ± 6.9; = 0.7 [95% CI: -1.28, 0.4, 2.08]), or 1-week PO haemoglobin (11.4 ± 7.5; = 0.9 [95% CI: -1.55, 0.2, 1.95]).
Routine PO haemoglobin assay after uncomplicated elective CSs is not necessary, especially when the pre-operative haemoglobin before the ECS ≥ 11 gms%, CS duration < 45 min, and estimated intra-operative blood loss ≤ 500 mL.
本研究旨在检测剖宫产术（CS）后常规血红蛋白（Hb）检测是否必要。
本观察性研究纳入了122例因择期剖宫产术顺利分娩的女性。术前检查按照医院方案进行，包括全血细胞计数、血红蛋白、凝血酶原时间、活化部分凝血活酶时间以及肝肾功能检查。择期剖宫产术顺利完成后，立即从参与者处采集血样，术后12小时、24小时、48小时以及术后1周进行血红蛋白检测。采用学生t检验比较术前和术后血红蛋白，以检测剖宫产术顺利完成后进行Hb检测是否必要。
术前血红蛋白（11.6±6.4克/百分比）与术后即刻血红蛋白（11.1±5.9；P=0.1[95%可信区间：-1.05,0.5,2.05]）、术后12小时血红蛋白（10.9±7.3；P=0.9[95%可信区间：-1.03,0.7,2.43]）或术后24小时血红蛋白（10.7±8.2；P=0.9[95%可信区间：-0.95,0.9,2.75]）之间无显著差异。此外，术前血红蛋白（11.6±6.4克/百分比）与术后48小时血红蛋白（11.2±6.9；P=0.7[95%可信区间：-1.28,0.4,2.08]）或术后1周血红蛋白（11.4±7.5；P=0.9[95%可信区间：-1.55,0.2,1.95]）之间无显著差异。
择期剖宫产术顺利完成后常规进行术后血红蛋白检测并非必要，尤其是当择期剖宫产术前血红蛋白≥11克/百分比、剖宫产手术时间<45分钟且估计术中失血量≤500毫升时。
