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Uses and misuse of blood transfusion in obstetrics in Lagos, Nigeria


, : Uses and misuse of blood transfusion in obstetrics in Lagos, Nigeria. West African Journal of Medicine 22(2): 124-127

The objectives of this study were to identify obstetric and medical conditions in transfused patients, appraise the justification for the transfusion and recommend measures for reducing transfusion in obstetrics in Nigeria. Available case records of obstetric patients transfused at the Lagos University Teaching Hospital between the period 1st November 1995 and 31 October 1998 were reviewed retrospectively. Data collected included booking status, mode of delivery, amount of blood-transfused, post transfusion packed cell volume (PCV), and obstetric and medical conditions found in the patients. There were 4,159 cases out of which 503 were transfused. The overall transfusion rate was 12.1%, in booked and unbooked patients, it was 6.6% and 45.8% respectively. Only 231 cases were available for full analysis, mean age was 28.9 +/- 5.2 years (range 16-43 years). Sixty-three (27.3%) had unit-transfusions. Mean post transfusion PCV was 28.4% +/- 4.3% (range 17%-43%). In 63 (27.3%), the post transfusion PCV was above 30%. Some of the obstetric and medical conditions in the transfused patients were caesarean section (68.8%), previous caesarean section (20.4%), antepartum haemorrhage (16.9%), pregnancy induced hypertension (15.6%), anaemia and malaria (14.0%), induction of labour (13.0%), ruptured uterus (8.8%), and sickle cell anaemia (5.2%). Multi-unit transfusions were found in ruptured uterus (5.8 units), sickle cell anaemia (4.9 units), vaginal and cervical lacerations (4.0 units), forceps delivery (3.9 units) and malaria and anaemia (2.9 units). The study shows a high transfusion rate; an appreciable number were unnecessary transfusions. A number of the obstetric and medical factors for blood transfusion were avoidable. A reduction in blood transfusion rate can be achieved by the provision of adequate, available and affordable maternal health services in Nigeria.

US$29.90

PMID: 14529219


Other references

Kertai, M.D.; Boersma, E.; Klein, J.; Van Urk, H.; Bax, J.J.; Poldermans, D., 2004: Long-term prognostic value of asymptomatic cardiac troponin T elevations in patients after major vascular surgery. Cardiac troponin T (cTnT) is a sensitive and specific marker for myocardial injury, but elevations of cTnT without clinical evidence of ischemia and persistent or new electrocardiographic (ECG) abnormalities are common in patients undergoing major...

Tiemann, K.H.; Dammann, H.J., 1981: J9 - a new apple rootstock for the Lower Elbe growing region. The apple rootstock J9 was selected from seedlings of open pollinated M.9 in 1953. It has finely branched roots similar to MM.106. It is easily propagated by stooling, producing more than double the number of rooted stocks than M.9. Its winter-har...

Pollazzon, M.; Grosso, S.; Papa, F.T.; Katzaki, E.; Marozza, A.; Mencarelli, M.A.; Uliana, V.; Balestri, P.; Mari, F.; Renieri, A., 2009: A 9.3 Mb microdeletion of 3q27.3q29 associated with psychomotor and growth delay, tricuspid valve dysplasia and bifid thumb. We describe a de novo 3q27.3q29 deletion in a 2.5-year-old female patient with developmental and growth delay, dysmorphic facial features, mild tricuspid valve dysplasia, bifid thumb, clinodactyly of the 2nd toe bilaterally and scoliosis. The dele...

Itai, Y.; Kogure, T.; Okuyama, Y.; Akiyama, H., 1975: Radiodiagnosis of the esophagus. (1) Diffuse granular shadows of the esophagus. Rinsho Hoshasen. Clinical Radiography 20(13): 1133-1139

Horita, T.; Ishiko, T., 1987: Relationships between muscle lactate accumulation and surface EMG activities during isokinetic contractions in man. In order to investigate the relationship between metabolic state and myoelectrical activity in working muscle during short term intense exercise, eleven healthy males performed isokinetic knee extensions at an angular velocity of 180 deg X sec-1 f...

Brownlee, E.M.; MacKinlay, G.A.; Lam, J.P.H., 2013: Is it possible for "traditional" laparoscopic surgery to leave "invisible" scars?. Improved cosmesis is widely recognized as the main benefit of single-port laparoscopy (SPL). Recently, some centers have started to perform SPL in infants and neonates. However, in our experience, the cosmetic result following traditional laparosc...

Hoffmann, W.E.; Hyslop, D.K.; Piercey, M.F., 1997: Autoreceptors controlling SNPC dopamine neuron firing are D-2 dopamine receptors. Society for Neuroscience Abstracts 23(1-2): 1775

Cramond, T.; Gibson, J.L.; Marks, E.O., 2000: Two pioneer Queensland ophthalmologists. Australian and New Zealand Journal of Ophthalmology 27(6): 371-374

Watanabe, Y.; Uchida, S.; Otsuki, K.; Yamagata, H.; Hobara, T.; Abe, N.; Higuchi, F.; Watanuki, T.; Matsubara, T., 2012: Functional biomarkers of mood disorders: differential diagnosis and clinical classification with gene expression in peripheral leukocytes. In order to identify the possible biomarkers of mood disorders, we measured the mRNA levels for a variety of genes in peripheral leukocytes of mood disorder patients in a depressive, as well as in a remissive state, comparing with healthy controls...

Meyer, M.; Wilson, P.; Schomburg, D., 1996: Hydrogen bonding and molecular surface shape complementarity as a basis for protein docking. A geometric docking algorithm based upon correlation analysis for quantification of geometric complementarity between protein molecular surfaces in close interfacial contact has been developed by a detailed optimization of the conformational searc...