Nitish Kataria, Anita Kumari, Sumit P. Rathore, Richa Sharma

ANALYSIS OF BLOOD TRANSFUSION REACTION IN OBSTETRIC PATIENTS AT JHALAWAR MEDICAL COLLEGE, RAJASTHAN

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Introduction - Blood transfusion plays a major role in prenatal care in anemic mothers and during 1 obstetric hemorrhages which are a major cause of maternal mortality. Aim & Objective- Analysis of frequency, distribution and types of blood transfusion reaction in obstetric patients at JMC. Materials & Methods- After obtaining approval, those obstetric patients meeting the inclusion criteria will be enrolled in the above study. All reported transfusion reaction was evaluated. Blood samples for re-cross matching, Coombs' test, and urine samples for methemoglobinuria were obtained from each patient who experienced a transfusion reaction. Inclusion criteria: All pregnant ladies who underwent blood transfusions during six months period (July 22 - December 22) at JMC. Result- The proportion of patients receiving blood transfusion out of the total anaemic obstetric population received at JMC is as follows:- July : 263(26.7%), August : 252(24.6%), September : 241(26.8%), October: 225(25.5%), November : 209(26.5%), December : 184(25.4%). So total blood transfused is 1374(25.9%). Out of this 1374 cases 12 blood transfusion reactions were notied i.e. 0.87%. Classied as below :- Febrile non-hemolytic transfusion reactions : 6(50%), Allergic reactions : 4(33.3%), Acute hemolytic reactions : 0(0%), Miscellaneous (Isolated hypotension etc.) : 2(16.7%), TRALI : 0(0%). No any maternal mortality was observed due to transfusion related reactions. Conclusion- Total blood transfused was 1374 i.e. 25.9% of Anemic obstetric patients, in which 12 blood transfusion reactions were notied i.e. 0.87%. Among which the most common transfusion reaction was Febrile non-hemolytic transfusion reactions(50%).Blood transfusion should be considered only when severe anemia and obstetric hemorrhages are major risk to life, because of related blood transfusion reactions.

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