TITLE:
Assessment of Unmet Transfusion Needs in the Management of Immediate Postpartum Haemorrhage at the Kalaban Coro Reference Health Centre (MALI)
AUTHORS:
Bocary Sidi Kone, Kalifa Traore, Mahamoudou Coulibaly, Cheickna Sylla, Sema Keita, Yacouba Sylla, Mamadou Haïdara, Mahamadou Keita, Sékou Bakary Keita, Bamba Brehima, Mamadou Kampo, Dramane Fomba, Yacouba Aba Coulibaly, Seydou Z. Dao, Modibo Dicko
KEYWORDS:
Blood Transfusion, Postpartum Hemorrhage
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.9,
September
28,
2023
ABSTRACT: The aim was to assess transfusion needs in the management of immediate
postpartum haemorrhage. Materials and Methods: this was a prospective,
descriptive, analytical study from 01 January 2018 to 31 October 2018 in the
gynecology and obstetrics department of the reference health center of
Kalaban-Coro (Mali). Results: During the study period we recorded 32
cases of transfusion of the immediate postpartum out of 109 cases of hemorrhage
or 29.35%; for a total of 2425 deliveries or a frequency of 1.31%. The main
indications for blood transfusion were: postpartum haemorrhage due to tearing
of the soft parts in 21.9%; retroplacental hematoma in 18.6%; uterine rupture
in 12.5%; and placenta previa covering hemorrhagic in 12.5%. More than half of the transfused were evacuees, or 62.5%. Unmet
transfusion requirements were 59.4%. The blood products requested were: whole
blood in 99% of cases and fresh frozen plasma in only 1% of cases. Conclusion: the need for labile blood products remains a reality in
obstetrics. The permanent availability of labile blood products improves the
prognosis of immediate postpartum haemorrhages.