Hemoglobin Drop Postoperatively and Blood Transfusion Necessity in Cesarean Section

Abstract

Objective: To assess the blood transfusion for Cesarean Section and blood drop postoperatively and haematocrit as well as to associate those parameters with the term between uterine incision and repair.

Study Design: Prospective observational study

Place and Duration of Study: This study was conducted at the Department of Obstetrics & Gynaecology, Shahida Islam Medical College Lodhran from September 2016 to August 2018.

Materials and Methods: A total of 121-females who experienced elective & emergency C-section were omc;ided/ Hemoglobin post-cesarean drop and haematocrit and their connection with span of uterine manipulation were determined. %T (transfusion probability), Ti (transfusion index) and C/T ratio (crossmatch to transfusion) were additionally determined.

Results: 38% O positive blood group was found most frequently. 1.52±1.27 gm/dl average drop in hemoglobin in post cesarean and 5.49±4.1% haematocrit drop. Hemoglobin drop postoperatively and haematocrit had feeble and positive linear connection with period between uterine cut and fix. 1 was the C/T Ratio (crossmatch to transfusion ratio), 100% transfusion probability and 2 was the Ti (transfusion index).

Conclusion: Blood routine crossmatching is not necessary for C-Section. In emergency circumstances / conditions only blood grouping should be done with availability confirmation.