International Journal of Obstetric Anesthesia
Volume 18, Issue 4 , Pages 302-308 , October 2009

Retrospective analysis of transfusion outcomes in pregnant patients at a tertiary obstetric center

  • A.J. Butwick
  • ,
  • P. Aleshi
  • ,
  • M. Fontaine

      Affiliations

    • Corresponding Author InformationCorrespondence to: Dr. Alexander Butwick, Department of Anesthesiology (MC: 5640), 300 Pasteur Drive, Stanford University School of Medicine, Stanford, California 94305, USA. Tel.: +1 650 736 8513; fax: +1 650 725 8544.
  • ,
  • E.T. Riley
  • ,
  • L.T. Goodnough

      Affiliations

    • Corresponding Author InformationCorrespondence to: Dr. Alexander Butwick, Department of Anesthesiology (MC: 5640), 300 Pasteur Drive, Stanford University School of Medicine, Stanford, California 94305, USA. Tel.: +1 650 736 8513; fax: +1 650 725 8544.

,Accepted 3 February 2009.

References 

  1. Chang J, Elam-Evans LD, Berg CJ, et al. Pregnancy-related mortality surveillance--United States, 1991–1999. MMWR Surveill Summ. 2003;52:1–8
  2. Bose P, Regan F, Paterson-Brown S. Improving the accuracy of estimated blood loss at obstetric haemorrhage using clinical reconstructions. BJOG. 2006;113:919–924
  3. Matot I, Einav S, Goodman S, Zeldin A, Weissman C, Elchalal U. A survey of physicians’ attitudes toward blood transfusion in patients undergoing cesarean section. Am J Obstet Gynecol. 2004;190:462–467
  4. Jansen AJ, van Rhenen DJ, Steegers EA, Duvekot JJ. Postpartum hemorrhage and transfusion of blood and blood components. Obstet Gynecol Surv. 2005;60:663–671
  5. Rouse DJ, MacPherson C, Landon M, et al. Blood transfusion and cesarean delivery. Obstet Gynecol. 2006;108:891–897
  6. Burtelow M, Riley E, Druzin M, Fontaine M, Viele M, Goodnough LT. How we treat: management of life-threatening primary postpartum hemorrhage with a standardized massive transfusion protocol. Transfusion. 2007;47:1564–1572
  7. Burrows LJ, Meyn LA, Weber AM. Maternal morbidity associated with vaginal versus cesarean delivery. Obstet Gynecol. 2004;103:907–912
  8. Reyal F, Sibony O, Oury JF, Luton D, Bang J, Blot P. Criteria for transfusion in severe postpartum hemorrhage: analysis of practice and risk factors. Eur J Obstet Gynecol Reprod Biol. 2004;112:61–64
  9. Klapholz H. Blood transfusion in contemporary obstetric practice. Obstet Gynecol. 1990;75:940–943
  10. Naef RW, Washburne JF, Martin RW, Magann EF, Scanlon PH, Morrison JC. Hemorrhage associated with cesarean delivery: when is transfusion needed?. J Perinatol. 1995;15:32–35
  11. Sherman SJ, Greenspoon JS, Nelson JM, Paul RH. Obstetric hemorrhage and blood utilization. J Reprod Med. 1993;38:929–934
  12. Silverman JA, Barrett J, Callum JL. The appropriateness of red blood cell transfusions in the peripartum patient. Obstet Gynecol. 2004;104:1000–1004
  13. Combs CA, Murphy EL, Laros RK. Factors associated with hemorrhage in cesarean deliveries. Obstet Gynecol. 1991;77:77–82
  14. Combs CA, Murphy EL, Laros RK. Factors associated with postpartum hemorrhage with vaginal birth. Obstet Gynecol. 1991;77:69–76
  15. Kamani AA, McMorland GH, Wadsworth LD. Utilization of red blood cell transfusion in an obstetric setting. Am J Obstet Gynecol. 1988;159:1177–1181
  16. Sheiner E, Sarid L, Levy A, Seidman DS, Hallak M. Obstetric risk factors and outcome of pregnancies complicated with early postpartum hemorrhage: a population-based study. J Matern Fetal Neonatal Med. 2005;18:149–154
  17. Friedman MT, Ebrahim A. Adequacy of physician documentation of red blood cell transfusion and correlation with assessment of transfusion appropriateness. Arch Pathol Lab Med. 2006;130:474–479
  18. Audet AM, Goodnough LT, Parvin CA. Evaluating the appropriateness of red blood cell transfusions: the limitations of retrospective medical record reviews. Int J Qual Health Care. 1996;8:41–49
  19. Transfusion medicine . First of two parts--blood transfusion. N Engl J Med. 1999;340:438–447
  20. Tinmouth A, Macdougall L, Fergusson D, et al. Reducing the amount of blood transfused: a systematic review of behavioral interventions to change physicians’ transfusion practices. Arch Intern Med. 2005;165:845–852
  21. Asakura Y, Kato N, Sato Y, Mizutani M, Fujiwara Y, Komatsu T. The attitude towards red blood cell transfusion for bleeding at childbirth in women. Acta Anaesthesiol Scand. 2007;51:1402–1403
  22. Breymann C, Richter C, Huttner C, Huch R, Huch A. Effectiveness of recombinant erythropoietin and iron sucrose vs. iron therapy only, in patients with postpartum anaemia and blunted erythropoiesis. Eur J Clin Invest. 2000;30:154–161
  23. Breymann C, Zimmermann R, Huch R, Huch A. Use of recombinant human erythropoietin in combination with parenteral iron in the treatment of postpartum anaemia. Eur J Clin Invest. 1996;26:123–130
  24. Practice guidelines for perioperative blood transfusion and adjuvant therapies: an updated report by the American Society of Anesthesiologists Task Force on Perioperative Blood Transfusion and Adjuvant Therapies. Anesthesiology 2006;105:198–208.
  25. Murphy MF, Wallington TB, Kelsey P, et al. Guidelines for the clinical use of red cell transfusions. Br J Haematol. 2001;113:24–31
  26. Simon TL, Alverson DC, AuBuchon J, et al. Practice parameter for the use of red blood cell transfusions: developed by the Red Blood Cell Administration Practice Guideline Development Task Force of the College of American Pathologists. Arch Pathol Lab Med. 1998;122:130–138
  27. Nuttall GA, Stehling LC, Beighley CM, Faust RJ. Current transfusion practices of members of the American Society of Anesthesiologists: a survey. Anesthesiology. 2003;99:1433–1443
  28. Hardy JF, De Moerloose P, Samama M. Massive transfusion and coagulopathy: pathophysiology and implications for clinical management. Can J Anesth. 2004;51:293–310
  29. Charbit B, Mandelbrot L, Samain E, et al. The decrease of fibrinogen is an early predictor of the severity of postpartum hemorrhage. J Thromb Haemost. 2007;5:266–273
  30. Cosgriff N, Moore EE, Sauaia A, Kenny-Moynihan M, Burch JM, Galloway B. Predicting life-threatening coagulopathy in the massively transfused trauma patient: hypothermia and acidoses revisited. J Trauma. 1997;42:857–861
  31. Zeeman GG. Obstetric critical care: a blueprint for improved outcomes. Crit Care Med. 2006;34:S208–S214
  32. Zlatnik MG, Cheng YW, Norton ME, Thiet MP, Caughey AB. Placenta previa and the risk of preterm delivery. J Matern Fetal Neonatal Med. 2007;20:719–723
  33. Gielchinsky Y, Mankuta D, Rojansky N, Laufer N, Gielchinsky I, Ezra Y. Perinatal outcome of pregnancies complicated by placenta accreta. Obstet Gynecol. 2004;104:527–530
  34. Palo R, Ahonen J, Salo H, Salmenpera M, Krusius T, Maki T. Transfusion of red blood cells: no impact on length of hospital stay in moderately anaemic parturients. Acta Anaesthesiol Scand. 2007;51:565–569

 This study was presented in part at the Society of Obstetric Anesthesia and Perinatology (SOAP) 40th Annual Meeting, April 2008, Chicago.

PII: S0959-289X(09)00040-5

doi: 10.1016/j.ijoa.2009.02.005

International Journal of Obstetric Anesthesia
Volume 18, Issue 4 , Pages 302-308 , October 2009