Frequency of Reactions Due to Whole Blood Transfusion in Obstetrical and Gynecological Patients

Abstract

Objective: To investigate the frequency of transfusion reactions after whole blood transfusion in gynecological and obstetrical patients.Study Design: Descriptive case series, Place and duration: Completed in the department of obstetrics and gynecology THQ Samundri, DHQ Khanewal and Nishtar Hospital, Multan from 20 August 2017 to 30 April 2018. Methodology: A total of 200 patients included in the study and main variables to be assessed were age, pregnancy status, early transfusion reaction, fever, rashes, shortness of breath, hypotension. Non probability consecutive sampling was used. SPSS version 23 was used to analyze the data and probability value ≤0.05 was taken as significant. Results: Early transfusion reaction was observed in 14.5% women. Fever was noted in 8% women. Rash was observed in 5.5% women. Shortness of breath was observed in 8.5% women. Hypotension and itching was noted in was observed in 11.5% and 1.5%women respectively. Conclusion: We concluded that frequency of early transfusion reactions is not too much high (14.5%), transfusion of blood components is safer than whole blood transfusion. Whole blood therapy should be restricted and avoided to overcome reactions due to transfusion.

Keywords: Early transfusion reaction, Whole blood, Pregnancy, Gynecology, Obstetrics.