Wangi Ngoy Yvon, Nganga Nkanga Mireille Solange, Ndelembo Baina Guy, Katende Katende Audrey, Bikaula Ngwidiwo Jacques, Mpudi Massamba Lethy, Walo Diessa Fanny, Kuyangisa Boloko Bienvenu, Mawalala Malengele Héritier, Longo-Mbenza Benjamin
Department of Medical Biology, University Hospital of Kinshasa, University of Kinshasa, Kinshasa, Democratic Republic of Congo.
Lomo University of Research, Kinshasa, Democratic Republic of Congo.
J Blood Med. 2023 Mar 27;14:221-231. doi: 10.2147/JBM.S381016. eCollection 2023.
Gynecology and obstetrics are among the specialties where blood transfusion is most practiced. This situation requires the use of good transfusion practices. The objective of this study was to assess the quality of transfusion practice in the Gynecology and Obstetrics Department of the University Hospital of Kinshasa (UHK).
This is a prospective, evaluative and descriptive study performed at the Department of Gyneco-Obstetrics of the University Hospital of Kinshasa from February 25 to June 25, 2020; which dealt with patients who received at least one blood transfusion.
About 498 patients, 54 patients were transfused and their average age was 36.4 years, with the extremes of 14 and 60 years, the transfusion rate was 10.8%. Most of patients (n=36: 2/3) were transfused during weekend days, sachets were used as delivery materials of blood product in 57.4% of cases (n = 31). Among the prescribers of blood products, 70.4% were nurses. All transfusions were carried out in type-specific and cross-matched Rh. All the transfused patients were not aware of the disadvantages of transfusion. Compatibility tests at the patient's bedside were not performed in 61.1% of cases and the concordance control between the patient and the blood component to be transfused was not performed in 70.4% of cases. Close monitoring of blood transfusion in the first ten minutes was not performed in 59.3% of cases.
Transfusion encounters real practical problems in the gyneco-obstetrical environment of countries with limited resources. However, an assessment and multidisciplinary collaboration would be necessary to improve transfusion practice in medical field.
妇产科是输血应用最为广泛的专科领域之一。这种情况需要采用良好的输血操作规范。本研究的目的是评估金沙萨大学医院（UHK）妇产科的输血实践质量。
这是一项前瞻性、评估性和描述性研究，于2020年2月25日至6月25日在金沙萨大学医院妇产科开展；研究对象为接受过至少一次输血的患者。
约498例患者中，54例接受了输血，平均年龄为36.4岁，年龄范围在14岁至60岁之间，输血率为10.8%。大多数患者（n = 36：2/3）在周末接受输血，57.4%的病例（n = 31）使用袋装血制品作为血液制品的输送材料。在血液制品的开方者中，70.4%是护士。所有输血均采用血型特异性和交叉配血的Rh血型输血。所有接受输血的患者均未意识到输血的弊端。61.1%的病例未在患者床边进行相容性检测，70.4%的病例未进行患者与待输血血液成分之间的一致性核对。59.3%的病例未在输血前十分钟进行密切监测。
在资源有限国家的妇产科环境中，输血面临实际问题。然而，进行评估和多学科合作对于改善医疗领域的输血实践是必要的。
