Study of Utilization Pattern of Blood And Blood Components in Obstetrics at A Tertiary Care Hospital


  • Pallavi Anil Rathod Senior Resident, Kasturba Hospital for Infectious Diseases, Mumbai, India
  • Avinash Namdeo Jadhao Associate Professor, Seth GSMC & KEMH Parel Mumbai, India
  • Amit Ramesh Barapatre Associate Professor, T. N. Medical College & BYL Nair Ch. Hospital Mumbai, India



Background: Blood transfusion is a life-saving procedure, but inappropriate use of blood and its components in obstetric emergencies, especially in cases of massive bleeding, increases the risk of morbidity and mortality. The aim of this study was to describe the determinants of blood and blood components in obstetrics in a tertiary care hospital with indications for transfusion for different components during the study.

Subjects and Method: A Prospective Observational study was carried from May 2018 to December 2019 at Department of Obstetrics and Gynaecolog,T.N.M.C & B.Y.L.Nair Hospital Mumbai. The independent variables are sociodemographic characteristics, parity, mode of delivery, education, hospital level, while dependent variables are frequency of obstetric transfusion. Frequency of transfusion of blood and its components obtained from case file of patient. The other data were collected by questionnaire. Analysis of 366 Obstetric patients requiring blood transfusion in eighteen months period was done. Qualitative data were presented as frequency and percentages and analysed using the chi-square test.

Results: During the whole study 366 of obstetric admission required transfusion of blood and its components. Severe anaemia during pregnancy/postpartum anaemia (51%) were the most common indications for blood product transfusions followed by Accidental Haemorrhage (30%), Caesarean section (10.38%) Genital tract trauma including uterine rupture (11%), Postpartum Haemorrhage’s (13%), Placenta previa (6.5%), Ectopic pregnancies (3.5%), Vesicular mole (3.27%), Retained placenta (3.27%) Ruptured uterus (1%), and Abortion (2.7%). Packed cells (47%) were the most common type of blood and blood products transfused followed by Fresh Frozen Plasma (41.86%).

Conclusion: : In obstetric emergencies, correct diagnosis and management of emergencies, A pre- planned, multidisciplinary protocol yields excellent effects in the management.

Keywords: blood transfusion, pregnancy, anaemia, obstetric emergencies

Correspondence: Avinash N. Jadhao. Associate Professor, Department of Biochemistry Seth GSMC & KEMH Parel Mumbai 400012, India. Email: Phone no.91 7718971066.


Auerbach M, Goodnough LT, Picard D, Maniatis A (2008). The role of intravenous iron in anemia management and transfusion avoidance. Transfusion. 48(5): 988-1000. Doi: 10.1111/j.15372995.2007.01633.x.

Bangal VB, Gavhane SP, Aher KH, Bhavsar DK, Verma PR, Gagare SD (2017). Pattern of utilization of blood and blood components in obstetrics at tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 6(10): 4671-4676. Doi:10.18203/23201770.ijrcog20174462.

Biswas S, Rengaraj S (2019). Pattern of Blood Transfusion among Women undergoing Caesarean Section in a Tertiary Health Care Centre in South India. J Gynec Obstet. 2(1).

Carson JL, Carless PA, Hebert PC (2010). Transfusion threshold and other strategies for guiding allogenic red blood cell transfusion. Cochrane Database Syst. Rev. 6:10. Doi: 10.1002/14651858.CD002042.pub2.

Namgyal A (2014). Rationale use of blood and its components in obstetric gynecological practice. J. Mahatma Gandhi Inst. Med. Sci. 19: 93–99. Doi: 10.4103/09719903.138427.

Chowdhury F, Akhter S, Islam A, Rayen J, Begum N, Begum F (2016). Evaluation of Blood Transfusion Practices in Obstetrics and Gynecology in a Tertiary Hospital in Bangladesh. J. Bangladesh Coll. Phys. Surg. 34(1): 9-14. Doi: 10.3329/jbcps.v34i1.29116.

Cunningham F, Leveno KJ, Bloom SL, Dashe JS, Hoffman BL, Casey BM, Spong CY (2018). Obstetrical hemorrhage. Williams Obstetrics. ent.aspx?bookid=1918&sectionid=185 083809.

Drife J (1997). Management of primary postpartum haemorrhage. J. Obstet. Gynaecol. Br. 104(3): 275-7. Doi: 10.1111/j.14710528.1997.tb11453.x.

PMID: 9091001.

Fazal S, Poornima AP (2018). A study on transfusion practice in obstetric haemorrhage in a tertiary care centre. Glob J Transfus Med. 3(1): 41-45. Doi: 10.4103/GJTM.GJTM4817.

Gutierrez MC, Goodnough LT, Druzin M, Butwick AJ (2012). Postpartum hemorrhage treated with a massive transfusion protocol a tatertiary obstetric center A retrospective study. Int J Obstet Anesth. 21: 230–235. Doi: 10.1111/j.15372995.2011.03152.x.

James AH, Paglia MJ, Gernsheimer T, Grotegut C, Thames B (2009). Blood component therapy in post partum hemorrhage.Transfusion. 49(11):2430-2433. Doi: 10.1111/j.15372995.2009.02318.x.

Millar C, Laffan M (2015). Hemostatic changes in normal pregnancy. 1–13. Doi: 10.1007/97833191512051.

Murugesan M, Doshi K, Subbiah SP (2019). Transfusion practice in obstetrics Indian scenario. Asian J Transfus Sci. 13: 151-152. Doi: 10.4103/ajts.AJTS16118.

Nuttall GA, Stehling LC, Beighley CM, Faust RJ (2003). Current transfusion practices of members of the American society of anesthesiologists: a survey. Anesthesiology.99(6):1433-11443.Doi: 10.1097/0000054220031200000028.

SauleI, Hawkins N (2012). Transfusion practice in major obstetric haemorrhage: Lessons from trauma. Int J Obstet Anesth. 21: 79–83. Doi: 10.1016/j.ijoa.2011.09.009.

Sushil Chawla (2018). Blood Transfusion Practices in Obstetrics: Our Experience, J Obstet Gynaecol India. 68(3): 204–207. Doi: 10.1007/s132240181092x.

Thomas D, Wee M, Clyburn P, Walker I, Brohi K, Collins P, Doughty H, et al. (2010). Association of Anaesthetists of Great Britain and Ireland Blood transfusion and the anaesthetist: Management of massive haemorrhage Anaesthesia. 65: 1153-1161. Doi: 10.1111/j.13652044.2010.06538.x.

Vachhani JH, Joshi JR, Bhanvadia VM (2008). Rational use of blood: a study report on single unit transfusion . Indian J Hematol Blood Transfus. 24(2): 69–71. Doi: 10.1007/s1228800800329.

WHO (2011). Essential health technologies

.Blood transfusion safety. Available at: 14 June2019.




How to Cite

Rathod, P. A., Jadhao, A. N., & Barapatre, A. R. (2022). Study of Utilization Pattern of Blood And Blood Components in Obstetrics at A Tertiary Care Hospital. Journal of Maternal and Child Health, 7(5), 591–599.