Research Article
Volume 4 Issue 3 - 2020
Emergent Obstetrical Transfusion at the Yalgado Ouédraogo Teaching Hospital
André Simpore1*, Martin Lankoande2, Papougnezambo Bonkoungou3, RA Flavien Kabore4, Siaka Goro5, Ali Ouedraogo6 and Blandine Thieba/Bonane7
1Anaesthetist, Gynaecology and Obstetrics Department, Yalgado Ouédraogo University Hospital Center, Burkina Faso
2Anaesthesiologist, Multi-Purpose Intensive Care Unit, Yalgado Ouédraogo University Hospital Center, Burkina Faso
3Anaesthesiologist, Medical Emergency Department, Yalgado Ouédraogo University Hospital Center, Burkina Faso
4Anaesthesiologist, Anaesthesia and Intensive Care Unit, Tingadogo University Hospital Center, Burkina Faso
5Doctor, Yalgado Ouédraogo University Hospital Center, Burkina Faso
6Gynaecologist Obstetrician, Tingadogo University Hospital Center, Burkina Faso
7Gynaecologist Obstetrician, Gynaecology and Obstetrics, Yalgado Ouédraogo University Hospital Center, Burkina Faso
*Corresponding Author: André Simpore, Anaesthetist, Gynaecology and Obstetrics Department, Yalgado Ouédraogo University Hospital Center, Burkina Faso.
Received: January 20, 2020; Published: February 10, 2020




Abstract

Introduction: In order to improve the hold in charge of the emergencies transfusion we carried out a prospective survey that consisted in describing the epidemiological, clinical, therapeutic and prognostic aspects of maternal transfusion in obstetric service of the teaching hospital Yalgado Ouédroago. 

Patients and Methods: This prospective survey was about the period of July 1st to October 31, 2017. All pregnant women or in the post-partum with a need of emergent transfusion are involved. 

Results: During 4 months 190 women have been admitted for obstetric complication with a need of urgent transfusion of 11.6%. Our patients were young majority (53.1%). The indications of the transfusion were dominated by post-partum hemorrhages (21,6%) with retroplacental hematoma 12.1% and of pregnancies extra uterine broken 8.4%. The stern anemias on pregnancy and in the post-partum represented 21.1% and 24,2% respectively. The hold in charge included an obstetric and/or medical care. The hemoglobin initial means was of 5.2 ± 4 g/dl with extreme 1.5 to 12.1g/dl. The needs of transfusion have not been covered in 13. 2%. Delay of obtaining of the blood product was of 9.8 ± 1.4 hours. The death rate was of 3.2%. Post-partum hemorrhages (PPH) came at the head of the maternal deaths with a specific lethality rate 16%. 

Conclusion: The rate of need non covered transfusion in emergency remains even important in OS. A better organization is needed to improve blood transfusion.

Keywords: Obstetric Emergency; Blood Transfusion; Maternal Prognosis

References

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  8. Lankoande Martin., et al. “Incidence and Outcome of Severe Ante-Partum Hemorrhage at the Teaching Hospital Yalgado Ouédraogo in Burkina Faso”. BMC Emergency Medicine (2017).
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Citation: André Simpore., et al. “Emergent Obstetrical Transfusion at the Yalgado Ouédraogo Teaching Hospital”. EC Emergency Medicine and Critical Care 4.3 (2020): 01-09.

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