Evaluation of Practices of Blood Transfusion in Various Indication of Caesarean Section

Objective: To determine frequency the blood transfusion among the patients undergoing caesarean section with various indications.Study Design: Cross - sectional study.Place and Duration of Study: The study was conducted from Oct 2008 to Apr 2009 in department of obstetrics and gynaecology Lady Willingdon Hospital Lahore.Subject and Methods: Total 160 cases were selected in the study and frequency of intera operative blood transfusion was noted in patients undergoing caesarean section with each indication.Results: Mean age of the patients was observed 31.9 ± 2.3 year. Distribution of cases by indication of blood transfusion in caesarean section showed placenta praevia in 90 patients (56.0%), preeclampsia in 12 pati-ents (7.5%), previous caesarean section in 24 patients (15.0%) and obstructed labour in 34 patients (21.0%). Conclusion: It is concluded from current study that main indication for blood transfusion is placenta praevia.Risk factors for placenta praevia which can be avoided are, endometrial damage, uterine scar, due to caesarean section or myomectomy. The second indication for blood transfusion is obstructed labour, which is a preventable condition