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


  • 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



Blood transfusion, Caesarean delivery, Risk factors


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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Original Research Articles