Satisfaction and Time to Obtain Blood Products in Obstetric Emergency Situations at Sylvanus Olympio Teaching University Center of Lome

Main Article Content

Akila Bassowa
Baguilane Douaguibe
Dede Ajavon
Kodjo Fiagnon
Samadou Aboubakari
Koffi Akpadza

Abstract

Objective: It was to evaluate the satisfaction and delay in obtaining blood products during obstetric emergencies at the Sylvanus Olympio University Hospital Center.

Methodology: This is a prospective study conducted from June 2017 to May 2018, including 252 pregnant women and women who had received a blood transfusion in a context of genital haemorrhage or anaemia. Our data were captured and processed with CSPRO and IBM SPSS 25 software.

Results: The mean age of the patients was 30 +/- 8 years old. The paucigales and pauciparas were the most transfused respectively in 63% and 48%, followed by primigest (32%) and nulliparous (32%). Seventy-four per cent (74%) of the patients were referred, 26% were self-referred. Indications for transfusion were dominated by haemorrhagic abortion (26.6%) and postpartum haemorrhage (20.6%), followed by retroplacental hematoma (13.9%), uterine rupture (12.3%). Hemorrhagic placenta previa (10.7%) ruptured GEU (10.3%), sickle cell disease (3.2%) and malaria (2.4%). Cutaneo-mucous pallor was observed in all patients. Asthenia was present in 41.30%, vertigo 34.10%, shock state 31%, oedema 2.38% and coma 1.60% of cases. The pre-transfusion haemoglobin level was achieved in 73% and post-transfusional in 96%. CNTS was the most popular blood supply centre at 81.3%, followed by CHU-SO in 6.3%.

Conclusion: Blood transfusion in obstetric emergencies is a maternal rescue act. But the absence of a blood bank at the maternity ward delays the care.

Keywords:
Obstetric emergencies, haemorrhage, anaemia, transfusion

Article Details

How to Cite
Bassowa, A., Douaguibe, B., Ajavon, D., Fiagnon, K., Aboubakari, S., & Akpadza, K. (2020). Satisfaction and Time to Obtain Blood Products in Obstetric Emergency Situations at Sylvanus Olympio Teaching University Center of Lome. International Journal of Research and Reports in Gynaecology, 3(1), 1-8. Retrieved from https://journalijrrgy.com/index.php/IJRRGY/article/view/30101
Section
Original Research Article

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