TITLE:
Place of Autologous Intraoperative Blood Transfusion in the Treatment of Broken Ectopic Pregnancy (EP) at the Chiphra Hospital of Ouagadougou, Burkina Faso
AUTHORS:
Ouattara Adama, Sib Sansan Rodrigue, Tougma Aline Pegwendé, Ouédraogo Issa, Zalha Assoumana, Millogo Traoré Francoise Danielle, Ouédraogo Charlemagne Marie, Ouédraogo Ali, Thieba Bonané Blandine
KEYWORDS:
Ectopic Pregnancy, Haemoperitoneum, Autotransfusion, Ouagadougou
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.7 No.10,
October
10,
2017
ABSTRACT: Objective: To describe the role of autologous regenerative intraoperative bleeding
of recent intra-cavity losses over the ectopic pregnancy ruptured at the Schiphra Hospital of Ouagadougou. Methodology:
It has been a cross-sectional descriptive study over a period of 18
months from January 1st 2014 to June 30th 2015 in the
obstetrics and gynecology department at the schiphra hospital of Ouagadougou. In
our study, we included all pregnant women having
received emergency with a diagnosis of broken ectopic pregnancy complicated by a significant array
of clinical haemoperitoneum and who have consented to participate in the
survey. Results: During the study period, we recorded 322 cases of
ectopic pregnancy, among which 106 were broken. Autotransfusion was performed in 59
patients, that is to say 18.3%. The average age of patients was 27 years (18 - 40). The
average rate of childbirth was 5.25 (0 - 11). The general condition of the
patients was pretty good at 8.5% and poor in 91.5% of cases. The average amount
of blood transfused per patient was 935
ml with a range of 400 and 1600 ml. After autotransfusion, 62% of
patients had greater improvement in hemoglobin 10 g/dl. Maternal prognosis was
marked by a case of fever with a morbidity rate of 1.9% and a death post autotransfusion
case fatality rate of 1.9%. Conclusion: In the context of shortage of
blood products, autologous transfusion could be an alternative in the treatment
of ruptured ectopic pregnancy in developing countries.