Role of blood and blood components transfusion in obstetric emergencies

Parul Vaid, Bhavuk Kapoor, Mayank Kapoor, Bharat B. Kapoor


Background: Common obstetric emergencies require blood and blood components transfusion. The use of blood and its components has become a lifesaving strategy in management of obstetric haemorrhage. This study was aimed to know the prevalence, indications and adverse reactions of blood and its components transfusion.

Methods: A review of 405 patients of obstetric emergencies requiring blood and its component transfusion was done.

Results: Prevalence of blood and blood components transfusion in obstetric emergencies in one-year period was 18.4%. Mostly women who received blood transfusions were multiparous (50.12%) and belonged to rural areas (62%). Anemia is a risk factor for obstetric emergencies and the mean pre transfusion hemoglobin ±SD was 8.04±1.38 (g/dl). Obstetric hemorrhage (68.6%) was the most common indication for transfusion and packed red cells were most commonly (54.07%) transfused. The overall percentage of adverse reactions seen during transfusion was 1.95%.

Conclusions: The present study reinforces the importance of appropriate use of blood and its components in obstetric emergencies. Appropriate use of blood components avoids many of the hazards associated with use of whole blood. All blood components should be made available at peripheral hospitals as most of the patients require specific blood component and they are referred to tertiary care centre in emergencies which can be avoided.


Blood component transfusion, Blood transfusion, Obstetric emergencies, Transfusion adverse reactions

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British Committee for Standards in Hematology. Blood Transfusion Task Force. Guidelines for the clinical use of red cell transfusions. Br J Haematol. 2001;113:24-31.

Reveiz L, Gyte GM, Cuervo LG. Treatments for iron-deficiency anemia in pregnancy. Cochrane Database Syst Rev. 2007;4:CD003094.

DeMayer EM, Tegman A. Prevalence of anaemia in the world. World Health Organ Qlty. 1998;38:302-16.

Registrar General of India. Sample registration survey. Maternal mortality in India: 1997-2003, trends, causes and risk factors. In: Registrar General of India, eds. A Survey. New Delhi: Registrar General of India; 2006:29.

Rock JA, Thomson JD. Te Linde’s operative gynecology. 8th ed. Philadelphia: Lippincott-Raven; 1997:245-61.

Chandy BK. WHO fact sheet. Kuwait Med J. 2007;39(3):298-302.

Mahalakshmi G, Nimma W, Mounika K, Amulya G. The study of peripartum transfusions of blood and its products in a tertiary hospital. IOSR J Dent Med Sci. 2016;15(5):23-7.

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

Fazal S, Poornima AP. A study on transfusion practice in obstetric hemorrhage in a tertiary care centre. Glob J Transfus Med. 2018;3:41-5.

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

Bindal J, Agrawal N, Sharma DC. Over view of referred obstetric patients and their outcome in tertiary care Hospital. JMSCR. 2017;5(5):22485-91.

Chowdhury F, Akhter S, Islam A, Rayend J, Begum N, Begum F. Evaluation of blood transfusion practices in obstetrics and gynaecology in a tertiary hospital in Bangladesh. J Bangladesh Coll Phys Surg. 2016;34:9-14.

Lawani OL, Lyoke CA, Onyebuchi AK. Blood transfusion trends in obstetrics at the Federal Teaching Hospital in Abakaliki, South- East Nigeria.Int J Womens Health. 2013;5:407-12.

Singh RK, Anne S, Ravindran PS. Changing trends of Blood transfusion requirement in obstetrics and gynaecology. Int J Reprod Contracept Obstetric Gynecol. 2018;7(5):2018-22.

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

Patterson JA, Robers CL, Bowen JR, Irving DO, Isbister JP, Morris JM, et al. Blood transfusion during pregnancy, birth, and the postnatal period. Obstet Gynecol. 2014;123(1):126-33.

Chhabra S, Namgyal A. Rationale use of blood and its components in obstetric-gynecological practice. J Mahatma Gandhi Institute Med Sci. 2014;19(2):93-9.

Bangal VB, Gavhane SP, Aher KH, Bhavsar DK, Verma PR, Gagare SD. Pattern of utilization of blood and blood components in obstetrics at tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2017;6(10):4671-6.