Blood Transfusion in Cesarean Section at Maharat Nakhon Ratchasima Hospital

Abstract

          Objective: To determine the incidence of blood transfusion, the crossmatches and transfusion ratio and identify risk factors associated with the need of transfusion in patients delivered by cesarean section. Patients & Methods: Retrospective study in women who underwent cesarean section at Maharat Nakhon Ratchasima Hospital between 1 September and 31 December 2007. Results: The study revealed total 1,162 cases, 50 patients had blood transfusion (4.3%). The total of 110 units of blood had been transfused. The crossmatches and transfusion ratio was 21.2 : 1. Gestational age less than 37 weeks, preoperative hematocrit less than 30%, cesarean section performed by residents, operation time more than 1 hour, referred cases, and placenta previa were related to intraoperative blood transfusion in cesarean section. Conclusion: The incidence of blood transfusion in cesarean section at Maharat Nakhon Ratchasima Hospital was 4.3% and the crossmatches and transfusion ratio was 21.2:1. Gestational age less than 37 weeks, preoperative hematocrit less than 30%, the surgeon were residents, operation time more than 1 hour, referred case, and placenta previa were related to intraoperative blood transfusion in cesarean section.