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Trends of blood loss and blood transfusion during cesarean section - A retrospective study over 10 years

Jyoti Bindal, Anjali Chhari, Sujata Bhargava.


Background: In Obstetrics and Gynecology, knowing the reasons of blood loss and blood transfusion (BT) becomes very important for proper patient management. Periodic assessment of BT practices provides knowledge of areas of improvement.

Objective: To study the trends in blood loss and transfusion rates during or after cesarean section (CS) over 10 years between 2005 and 2014.

Materials and Methods: A retrospective observational study was done including all women who underwent CS irrespective of indication in the Department of Obstetrics and Gynecology, Kamla Raja Hospital, Gajra Raja Medical College, Gwalior, during the last 10 years between 2005 and 2014. The data were collected for 12-month period every 2 years from 2005 to 2014, i.e., 2005, 2008, 2011, and 2014.

Results: Out of 21192 deliveries during this period, 7891 (37.23%) were CS and were more common in women in age group of 20-29 years (68%). During this study period, 8.89% women received BT. The most common indication of BT was anemia with antepartum eclampsia (49%) followed by antepartum hemorrhage (18.09%) and severe anemia (15.24%). There was no significant change in rate of BT during 2005-2014 (P > 0.05).

Conclusion: The marginal fall in the rate of transfusion in 2014 compared to 2011 suggest improvement in antenatal care services and advancement in obstetrics, anesthesia, surgical techniques, and BT medicine. And if this continues, there will be a significant decrease in maternal morbidity and mortality.

Key words: Retrospective Study; Maternal Morbidity and Mortality; Blood Transfusion; Cesarean Sections

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