Risk Factors of Blood Transfusion during Caesarean Delivery in Rural Area of Sindh

Abstract

Introduction: Hemorrhage is a leading cause of maternal deaths; particularly in developing countries. Bleeding in pregnant ladies is an indication of blood transfusion with all its attended risk.

Objective: This study was conducted to identify the factors necessitate blood transfusion during cesarean section.

Methodology: A total number of 2855 of pregnant women scheduled for emergency cesarean section or elective cesarean section at Bhurgri Hospital, rural area of Sindh, between July 2014 and December 2017. Participant were followed from the date of admission to the date of discharge and then for two weeks. Preoperative Hb level and the need for blood transfusion, clinical experience of obstetrician, indication for caesarean section, primary or repeat caesarean section and status of HBsAg/HCV were assessed.

Results: A total of the numbers of 4823 patients had deliveries from July-2014 to Dec-2017.Among them, 2855 patients underwent cesarean delivery, the ratio of cesarean section was recorded as 59.19%. All pregnant women who underwent cesarean delivery selected for our study. The mean age of the women who had surgery was 26 years.

Conclusion: Preoperative anemia, increasing parity, severe blood loss at surgery and status of HBs/HCV significantly contributes to require for blood transfusion in pregnant women undergoing a surgery (cesarean section).

Keywords: Caesarean section, Blood product transfusion, Risk factors, Anemia, HBs, HCV.