Assessment of Unmet Transfusion Needs in the Management of Immediate Postpartum Haemorrhage at the Kalaban Coro Reference Health Centre (MALI)  

作　　者：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 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(Department of Gynecology and Obstetrics, Polyclinique Mère Enfant Mohamed VI, Bamako, Mali;Department of Gynecology and Obstetrics, National Centre for Scientific and Technological Research, Bamako, Mali;Department of Gynecology and Obstetrics, Kalaban Coro Reference Health Centre, Bamako, Mali;Department of Gynecology and Obstetrics, Centre Hospitalo-Universitaire Gabriel Touré de Bamako, Bamako, Mali;Department of Gynecology and Obstetrics, Fana Reference Health Centre, Koulikoro, Mali;Department of Gynecology and Obstetrics, Reference Health Centre of Commune II of the District of Bamako, Bamako, Mali;Department of Gynecology and Obstetrics, Reference Health Centre of Commune I of the District of Bamako, Bamako, Mali;Department of Gynecology and Obstetrics, Timbuktu Hospital, Timbuktu, Mali;Department of gynecology and Obstetrics, Reference Health Centre of Commune VI of the District of Bamako, Bamako, Mali)

机构地区：[1]Department of Gynecology and Obstetrics, Polyclinique Mère Enfant Mohamed VI, Bamako, Mali [2]Department of Gynecology and Obstetrics, National Centre for Scientific and Technological Research, Bamako, Mali [3]Department of Gynecology and Obstetrics, Kalaban Coro Reference Health Centre, Bamako, Mali [4]Department of Gynecology and Obstetrics, Centre Hospitalo-Universitaire Gabriel Touré de Bamako, Bamako, Mali [5]Department of Gynecology and Obstetrics, Fana Reference Health Centre, Koulikoro, Mali [6]Department of Gynecology and Obstetrics, Reference Health Centre of Commune II of the District of Bamako, Bamako, Mali [7]Department of Gynecology and Obstetrics, Reference Health Centre of Commune I of the District of Bamako, Bamako, Mali [8]Department of Gynecology and Obstetrics, Timbuktu Hospital, Timbuktu, Mali [9]Department of gynecology and Obstetrics, Reference Health Centre of Commune VI of the District of Bamako, Bamako, Mali

出　　处：《Open Journal of Obstetrics and Gynecology》2023年第9期1645-1657,共13页妇产科期刊（英文）

摘　　要：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.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.

关 键 词：Blood Transfusion Postpartum Hemorrhage 

分 类 号：S82[农业科学—畜牧学]