Emergent Obstetrical Transfusion at the Yalgado Ouédraogo Teaching Hospital

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Résumé

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.

Mots-clés

Obstetric Emergency; Blood Transfusion; Maternal Prognosis