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Chapter 34 - Transfusion and Anaphylactic and Adverse Drug Reactions in Pregnancy

from Section 6 - Anaesthetic Emergencies During Pregnancy

Published online by Cambridge University Press:  06 May 2021

Edwin Chandraharan
Affiliation:
St George's University of London
Sir Sabaratnam Arulkumaran
Affiliation:
St George's University of London
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Summary

Incidence Obstetric blood transfusion represents a small proportion of overall blood use. However, the use of blood products in obstetrics is rising as postpartum haemorrhage rates continue to increase.

There is evidence of increasing rates of maternal red blood cell transfusion during childbirth worldwide, mainly in the context of postpartum haemorrhage [1–4]. In the United States, there was a steep increase in peripartum transfusion (from 0.3% to 1.0%) between 1998 and 2009 [5].

Outside the context of major haemorrhage, there is little evidence for the benefit of blood transfusion in fit, healthy, asymptomatic patients. The decision to transfuse must be based on careful clinical assessment in conjunction with the haemoglobin level [6].

Type
Chapter
Information
Obstetric and Intrapartum Emergencies
A Practical Guide to Management
, pp. 245 - 251
Publisher: Cambridge University Press
Print publication year: 2021

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References

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Further Reading

Cook, T, Harper, N, Farmer, L, Garcez, T, Floss, K, Marinho, S, et al. Anaesthesia, surgery, and life-threatening allergic reactions: protocol and methods of the 6th National Audit Project (NAP6) of the Royal College of Anaesthetists. Br J Anaesth. 2018;121(1):124–33.Google Scholar
Kroigaard, M, Garvey, LH, Gillberg, L, Johansson, SGO, Mosbech, H, Florvaag, E, et al. Scandinavian Clinical Practice Guidelines on the diagnosis, management and follow-up of anaphylaxis during anaesthesia. Acta Anaesthesiol Scand. 2007;51(6):655–70.Google Scholar

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