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CHANGING TRENDS OF BLOOD TRANSFUSION REQUIREMENT IN OBSTETRICS AND GYNECOLOGY
*Dr. Aisha Khatoon –FCPS, Shaista Rashid–FCPS, Shabnum Nadeem–FCPS, Fauzia Ali-FCPS, Ishrat Irfani-FCPS and Shaheen Masood-FCPS
Objective: To evaluate the changing trends of indications for blood transfusion in obstetrics and gynecology. Background: Blood transfusion might be a lifesaving procedure but it is not risk-free. Over the last few years, there has been a trend towards a reduced use of blood transfusions in obstetrics and gynae practice. The United Nations reported that about half of women suffer from anemia during pregnancy. Maternal complications and post-partum haemorrhage is significantly associated with antenatal anemia. This study evaluates the changing trends of indications of blood transfusion in obstetrics and gynaecology. Method: A Cross sectional study was conducted at Gynae & Obst department at Abbasi Shaheed Hospital associated with Karachi Medical & Dental College. Sample size was calculated by Epi info calculator. For all transfusions informed written consent was taken from patients. After obtaining consent, 93 patients were taken who fulfilled the inclusion criteria. Statistical calculations were conducted on SPSS version 21. Percentages and frequencies were calculated for indications of transfusion, transfusion reactions, and mean of (HB) hemoglobin before and after transfusion. Result: A total of 93 patients had blood transfusions. The most common indication of blood transfusion in gynecology and obstetrics is anemia correction (73.1%). Moderate to severe anemia (hemoglobin level less than 6gm) is reported in majority of patients admitted to Abbasi Shaheed Hospital. The need for a blood transfusion for anemia correction increases as pregnancy progresses. In most patients, there was no transfusion reaction found; however, rashes were found in 4% and hypothermia in 1% of patients. Conclusion: This study highlights the changing trends in the need for blood transfusions. The most common blood transfusion indication in gynecology and obstetrics cases is anemia correction. Measures to reduce the need for blood transfusions should be aggressively practiced in Pakistan.[Full Text Article]