Caesarean section-related blood transfusion: risk factors in a private teaching hospital in Nigeria

Authors

  • Omotayo F. Salami Department of Surgery, Babcock University, Ilishan Remo, Nigeria
  • Adebayo A. Akadri Department of Obstetrics and Gynecology, Babcock University Teaching Hospital, Ilishan Remo, Nigeria
  • Clifford Imonitie Department of Anaesthesia and Intensive Care, Babcock University Teaching Hospital, Ilishan Remo, Nigeria

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20222784

Keywords:

Blood transfusion, Caesarean delivery, Risk factors

Abstract

Background: Comprehensive emergency obstetric care, which includes the life-saving procedure of blood transfusion, is one of the essential components of effective emergency obstetric care that leads to a reduction in maternal mortality. In this study, blood transfusion risk factors were found in patients who had Caesarean deliveries at our facility.

Methods: This was a retrospective study of all pregnant women who had caesarean section at Babcock University Teaching Hospital, Nigeria between 2016 and 2020. Their medical records were retrieved and reviewed using pro-forma. Chi square analysis was used to determine significant association between blood transfusion status and independent variables. Information was extracted from medical records using pro-forma.

Results: Of 1568 obstetric admissions, there were 1210 deliveries and 369 (30.5%) caesarean sections. Ninety-five women (25.7%) of those that had caesarean sections were transfused. The incidence of blood transfusion was 13.7%. The preoperative packed cell volume, age and caesarean delivery type were significantly associated with blood transfusion status (p<0.05).

Conclusions: Preoperative anemia, age and caesarean delivery type were all associated with blood transfusion status. To maximize hemoglobin levels at delivery and to identify high-risk patients, regular antenatal checkups should be given more importance.

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References

Committee on Practice Bulletins Obstetrics. Postpartum hemorrhage. Obstet Gynecol. 2017;130: e168-86.

Schantz-Dunn J, Nour NM. The use of blood in obstetrics and gynecology in the developing World. Rev Obstet Gynecol. 2011;4(2):86-91.

Anjali K, Varsha K, Sulabha J, Anuja B, Bhavana K, Savita S. Blood transfusion in obstetrics and gynaecology: a retrospective analysis. Panacea J Med Sci. 2015;5(3):109-12

Jou HJ, Hung HW, Yan YH. Risk factors for blood transfusion in singleton pregnancy deliveries in Taiwan. Int J Gynaecol Obstet. 2012;117(2):124-7.

Pavord S, Myers B, Robinson S. UK guidelines on the management of iron deficiency in pregnancy. Br J Haematol. 2012;156(5):588-600.

Owonikoko KM, Adeoye A, Adeyemi AS, et al. Assessment of blood transfusion practices at caesarean section in a teaching hospital in south-western nigeria. Int J Med Pharma Sci. 2014;4(6):69-76.

Matsunaga S, Seki H, Ono Y. A retrospective analysis of transfusion management for obstetric hemorrhage in a Japanese obstetric center. Obstet Gynecol. 2012;2012:854064.

McLintock C, James AH. Obstetric hemorrhage. J Thromb Haemost. 2011;9:1441-51.

Suryanarayana R, Chandrappa M, Santhuram AN, Prathima S, Sheela SR. Prospective study on prevalence of anemia of pregnant women and its outcome: a community-based study. J Family Med Prim Care. 2017;6(4):739-43.

Aimakhu CO, Olayemi O. Maternal haematocrit and pregnancy outcome in Nigerianwomen. West Afr J Med. 2003;22:18-21.

Adesina O, Akinyemi O, Oladokun A. Anemia in pregnancy at two levels of health care in Ibadan,

South West Nigeria. Ann Afr Med. 2011;10(4):272-7.

The clinical use of blood, Blood transfusion safety. Available at: http://www.who.int/bloodsafety/BTS_ ResolutionsAdopted.pdf. Accessed on 20 November 2021.

Jadon A, Bagai R. Blood transfusion practices in obstetric anaesthesia. Indian J Anaesth. 2014;58(5): 629-36.

Chawla S, Bal MH, Vardhan BS, Jose CT, Sahoo I. Blood transfusion practices in obstetrics: our experience. J Obstet Gynaecol India. 2018;68(3):204-7.

Patterson JA, Roberts CL, Bowen JR, et al. Blood transfusion during pregnancy, birth and the postnatal period. Obstet Gynecol. 2014;123(1):126-33

Patel VP, Patel RV, Shah PT, et al. Study of role of blood transfusion in obstetric emergencies. Int J Reprod Contracept Obstet Gynecol. 2014;3(4):1002-5.

Akinlusi FM, Rabiu KA, Durojaiye IA, Adewunmi AA, Ottun TA, Oshodi YA. Caesarean delivery-related blood transfusion: correlates in a tertiary hospital in Southwest Nigeria. BMC Preg Childbirth. 2018;18:24.

Akinola OI, Fabamwo AO, Tayo AO, Rabiu KA, Oshodi YA, Onyekwere CA. Evaluation of blood reservation and use for caesarean sections in a tertiary maternity unit in south western Nigeria. BMC Preg Childbirth. 2010;10:23-9.

Owonikoko KM, Adeoye A, Adeyemi AS. Assessment of blood transfusion practices at caesarean section in a teaching hospital in south-western nigeria. Int J Med Pharma Sci. 2014;4(6):69-76.

Menacker F, Declercq E, Macdorman MF. Cesarean delivery: background, trends, and epidemiology. Semin Perinatol. 2006;30(5):235-41.

Enohumah KO, Imarengiaye CO. Factors associated with anaesthesia‐related maternal mortality in a tertiary hospital in Nigeria. Acta Anaesthesiol Scand. 2006;50(2):206-10.

Martin JA, Hamilton BE, Ventura SJ. Births: Final data for 2009. Available at: https://stacks.cdc. gov/view/cdc/. Accessed on 20 November 2021.

Shah A, Fawole B, M'Imunya MJ, Amokrane F, Nafiu I, Wolomby JJ, et al. Caesarean delivery outcomes from the World Health Organisation global survey on maternal and perinatal health in Africa. Int J Obstet Gynaecol. 2009;107:191-7.

Chalmers B, Mangiaterra V, Porter R. World Health Organisation principles of perinatal care: the essential antenatal, perinatal and postpartum care course. Birth. 2001;28:202-7

Ogunbode O. Anaemia in pregnancy. Trop J Obstet Gynaecol. 1995;12:19-25.

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Published

2022-10-28

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Original Research Articles