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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Maternal and Perinatal Outcome of Life Threatening Obstetrical Complications Requiring Multiple Transfusions
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Maternal and Perinatal Outcome of Life Threatening Obstetrical Complications Requiring Multiple Transfusions

机译：危及生命的产妇和围产期并发症，需要多次输血

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Introduction: Obstetrical haemorrhage is the direct cause of maternal mortality, which can be prevented by timely recognition followed by quick and adequate treatment. Aim: To evaluate maternal and perinatal outcome of life threatening obstetric complications requiring multiple transfusions. Materials and Methods: It is an observational study conducted on 112 antenatal and postnatal women admitted in a tertiary level hospital, requiring blood and blood products transfusion of >1.5 liters in 24 hours, over a period of 15 months (Aug 2011 to Oct 2012). The demographic and obstetrical profile, amount transfused, mode of delivery, duration of hospital stay, maternal and neonatal morbidity and mortality was evaluated. Statistical Analysis: Statistical analysis of the data was performed using chi-squared test. Results: There were 95 women who presented in antepartum period and 17 in the postpartum. Multigravidas comprised of 70 women, 81 had unsupervised pregnancies and 33 women presented in shock. At admission, 76 peripartum women had severe anaemia and 62 had coagulopathy. Obstetrical hysterectomy was done for 33 women and total 17 women expired. Haemorrhage was the most common indication for transfusion. The mean blood transfusion and volume replacement in 24 hours was 4.2 units & 2.25 liters respectively. The mean hospital stay was 10-15 days. Intra-uterine death at the time of admission was present in 40 women and 72 had live births. After birth, 21 babies required neonatal intensive care, of which 6 expired. Conclusion: Antenatal care is important to prevent complications though pregnancy is always unpredictable. Patients? condition at admission is single most important factor often influencing the maternal and perinatal outcome.
机译：简介：产科出血是孕产妇死亡的直接原因，可以通过及时识别并进行快速适当的治疗来预防。目的：评估需要多次输血的威胁生命的产科并发症的产妇和围产期结局。资料和方法：这是一项对观察性研究，研究对象是112名三级医院收治的产前和产后妇女，他们需要在15个月内（24小时之内）在24小时内输血和输血> 1.5升（2011年8月至2012年10月） 。人口统计学和产科概况，输血量，分娩方式，住院时间，母婴新生儿发病率和死亡率进行了评估。统计分析：使用卡方检验对数据进行统计分析。结果：产前有95名妇女，产后有17名妇女。多胎孕妇由70名妇女组成，其中81名在无监督的情况下怀孕，有33名震惊的妇女。入院时，有76名围产期妇女患有严重贫血，有62名患有凝血病。 33名妇女进行了产科子宫切除术，共有17名妇女死亡。出血是输血的最常见指征。 24小时内的平均输血量和置换量分别为4.2单位和2.25升。平均住院时间为10-15天。入院时子宫内死亡有40名妇女，其中72名活产。出生后，有21名婴儿需要新生儿重症监护，其中6名已过期。结论：产前保健对预防并发症很重要，尽管妊娠总是不可预测的。耐心？入院时的病情是影响母亲和围产期结局的最重要因素。

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