3 research outputs found
Analysis of blood transfusion requirements during the gravido-puerperal period in a hospital in Ouagadougou
This work was carried out with the aim to analyze the needs covered and not covered in blood during the gravid-postpartum period. This retrospective study covered the period from 1st January 2007 to December 31, 2009. It took into account the records of patients admitted to a direct or indirect obstetric causes, and has received an indication for transfusion. 450 patients had an indication for transfusion during the gravid-puerperal period. The main indications for transfusion were posed in front of 75.1% and 24.9% bleeding to chronic anemia. The rate of pre-transfusion hemoglobin averaged 5.7g/dl and 58.5% of women had a lower rate 6g/dl. Among the 450 women, 84.4% were transfused. The unmet need was 15.6%. The unavailability of blood was the main reason for unmet need (74.6%). Transfusion incidents or accidents were reported in 8.1%. The prognosis was better if breast coverage need for transfusion (p =0.00056), however, remained subject to a mortality of 4%. Blood transfusion, often essential to preserve the life of the mother and child must be more accessible while respecting the established protocols in order to limit the risks.Objectif : Ce travail a Ă©tĂ© rĂ©alisĂ© dans l’objectif d’analyser les besoins couverts et non couverts en matière de transfusion sanguine au cours de la pĂ©riode gravio-puerpĂ©rale. Patientes et mĂ©thodes : Cette Ă©tude rĂ©trospective portait sur la pĂ©riode du 1 janvier 2007 au 31 dĂ©cembre 2009. Elle prenait en compte les dossiers des patientes admises pour une cause obstĂ©tricale directe ou indirecte et ayant bĂ©nĂ©ficiĂ© d’une indication de transfusion. RĂ©sultats : 450 patientes ont eu une indication de transfusion au cours de la pĂ©riode gravido-puerpĂ©rale. Les principales indications de transfusion Ă©taient posĂ©es dans 75,1% devant l’hĂ©morragie et dans 24,9% devant une anĂ©mie chronique. Le taux d’hĂ©moglobine prĂ©-transfusionnel Ă©tait en moyenne de 5,7g /dl et 58,5% des femmes avaient un taux infĂ©rieur Ă 6g/dl. Parmi les 450 femmes, 84,4% ont Ă©tĂ© transfusĂ©es. Le besoin non couvert Ă©tait de 15,6%. L’indisponibilitĂ© du sang Ă©tait la principale raison du besoin non couvert (74,6%). Les  incidents ou accidents transfusionnels ont Ă©tĂ© relevĂ©s dans 8,1%. Le pronostic maternel Ă©tait meilleur en cas de couverture du besoin transfusionnel (p=0,00056) cependant il restait grevĂ© d’une mortalitĂ© de 4%. Discussion et conclusion : La transfusion sanguine, souvent indispensable pour prĂ©server la vie de la mère et de son enfant se doit d’être plus accessible tout en respectant les protocoles Ă©tablis afin d’en limiter les risques.Objetivo: Este estudio se realizĂł con el objetivo de analizar las necesidades de sangre cubiertas y no cubiertas durante el perĂodo gestacional y puerperal (inmediatamente posterior al parto). Pacientes y mĂ©todos: Este estudio retrospectivo cubriĂł el perĂodo transcurrido entre el 1 de enero de 2007 y el 31 de diciembre de 2009. Se utilizaron los historiales de pacientes admitidas directa o indirectamente por causas de obstetricia y a las que se les indicĂł una transfusiĂłn. Resultados: Se indicĂł una transfusiĂłn a 450 pacientes durante el perĂodo gestacional y puerperal. Las causas principales para indicar una transfusiĂłn fueron las hemorragias en un 75,1 % de los casos y la anemia crĂłnica en un 24,9 % de los casos. Los niveles medios de hemoglobina antes de las transfusiones eran de 5,7 g/dl, y el 58,5 % de las mujeres tenĂan niveles inferiores a 6 g/dl. De las 450 pacientes, 84,4 % de ellas recibieron una transfusiĂłn. La tasa no atendida fue del 15,6 %, y la principal causa fue la no disponibilidad de sangre (74,6 %). En el 8,1 % de las transfusiones se produjo algĂşn incidente o accidente. El pronĂłstico materno fue mejor cuando se cubriĂł la necesidad transfusional (p = 0,00056) sin embargo, se vio gravado con una mortalidad del 4 %. Debate y conclusiĂłn: Las transfusiones de sangre, a menudo esenciales para preservar la vida de madre e hijo, deben ser más accesibles aunque respetando siempre los protocolos establecidos para limitar sus riesgos
Analysis of blood transfusion requirements during the gravido-puerperal period in a hospital in Ouagadougou
This work was carried out with the aim to analyze the needs covered and not covered in blood during the gravid-postpartum period. This retrospective study covered the period from 1st January 2007 to December 31, 2009. It took into account the records of patients admitted to a direct or indirect obstetric causes, and has received an indication for transfusion. 450 patients had an indication for transfusion during the gravid-puerperal period. The main indications for transfusion were posed in front of 75.1% and 24.9% bleeding to chronic anemia. The rate of pre-transfusion hemoglobin averaged 5.7g/dl and 58.5% of women had a lower rate 6g/dl. Among the 450 women, 84.4% were transfused. The unmet need was 15.6%. The unavailability of blood was the main reason for unmet need (74.6%). Transfusion incidents or accidents were reported in 8.1%. The prognosis was better if breast coverage need for transfusion (p =0.00056), however, remained subject to a mortality of 4%. Blood transfusion, often essential to preserve the life of the mother and child must be more accessible while respecting the established protocols in order to limit the risks