CROSS-SECTIONAL STUDY OF NEED OF TARGETED USG AND ITS BENEFITS IN DECREASING FOETAL AND MATERNAL MORBIDITY AND MORTALITY BY OBSTETRIC DECISION MAKING IN A LOW RESOURCE SETTING

AbstrakPreeklampsia dan eklampsia merupakan penyebab utama morbiditas dan mortalitas ibu dan bayi di dunia, dimana terjadi penurunan albumin serum (hipoalbuminemia) sehingga tekanan hipovolemik intravaskular berkurang. Tujuan penelitian ini adalah untuk mengetahui hubungan kadar albumin serum dengan morbiditas dan mortalitas maternal pasien preeklampsia berat dan eklampsia. Penelitian ini bersifat analitik observasional retrospektif dilakukan dengan desain cross sectional study. Populasi penelitian adalah seluruh data rekam medis pasien preeklampsia berat dan eklampsia di RSUP Dr. M. Djamil Padang periode Januari 2012 – Desember 2012. Sampel ditetapkan dengan teknik total sampling sehingga didapatkan sampel sebanyak 133 kasus. Pengolahan data dilakukan secara komputerisasi dan analisis dengan uji chi-square. Hasil penelitian menunjukkan angka kejadian morbiditas maternal adalah 33,8%, mortalitas maternal 3,8% dan 3,8% pasien dengan hipoalbuminemia. Dari hasil analisis, tidak terdapat hubungan yang bermakna antara kadar albumin serum dengan morbiditas dan mortalitas maternal pasien preeklampsia berat dan eklampsia, dimana nilai p=1 untuk hubungan kadar albumin serum dengan morbiditas maternal dan p=0,177 untuk hubungan kadar albumin serum dengan mortalitas maternal pasien preeklampsia berat dan eklampsia (p>0,05).Kata kunci: preeklampsia berat, eklampsia, albumin serum AbstractPreeclampsia and eclampsia are major causes of maternal and fetal morbidity and mortality in the world, in which serum albumin decreases (hypoalbuminemia) so hypovolemic intravascular pressure will be reduced. The objective of this study was to determine the relation between serum albumin levels and maternal morbidity and mortality of severe preeclampsia and eclampsia patients. A retrospective observational analytical research was conducted with a cross sectional study design. The study population was the entire medical records of severe preeclampsia and eclampsia patients in RSUP Dr. M. Djamil Padang, period January 2012 – December 2012. The sample was determined by total sampling technique which obtained a sample of 133 cases. Data processing was computerized and analyzed by chi-square test. The incidence of maternal morbidity was 33.8%, maternal mortality was 3.8%, and 3.8% patients were with hypoalbuminemia. The analysis result obtained there was no significant correlation between serum albumin levels and maternal morbidity and mortality of severe preeclampsia and eclampsia patients, in which p=1 for serum albumin levels correlation with maternal morbidity and p=0.177 for serum albumin levels correlation with maternal mortality of severe preeclampsia and eclampsia patients (p>0.05).Keywords: severe preeclampsia, eclampsia, serum albumin

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Pattern of utilization of blood and blood components in obstetrics at a tertiary care center: a cross-sectional study

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20213859 ◽

2021 ◽

Vol 10 (10) ◽

pp. 3901

Author(s):

Alpana Jacob ◽

Sunita Goyal ◽

Tapasya Dhar

Keyword(s):

Blood Transfusion ◽

Maternal Morbidity ◽

Clinical Characteristics ◽

Obstetric Care ◽

Cross Sectional Study ◽

Morbidity And Mortality ◽

Blood Components ◽

Sectional Study ◽

Cross Sectional ◽

Maternal Morbidity And Mortality

Background: Blood transfusion is an essential lifesaving component in obstetrics. Extra blood loss in pregnancy can occur due to various gestational disorders and complications during labour and delivery. Reduction in maternal morbidity and mortality has been observed by increased use of comprehensive emergency obstetrics care in which blood transfusion has achieved recognition as one of the important components. In a developing country like India, the need for well maintained and readily available blood and transfusion services becomes paramount to decrease maternal morbidity and mortality. We wanted to determine the clinical characteristics and indication of blood transfusion in obstetrics and also determine any adverse blood transfusion reaction.Methods: This cross-sectional study was conducted in the department of obstetrics and gynaecology, Christian medical college, Ludhiana for a period of eighteen months from 15th October 2018. The study group included all the antenatal and postnatal patients up to 6 weeks postpartum who were admitted in the obstetric unit, requiring blood or component transfusions. Clinical characteristics, indication of blood transfusion and any adverse blood transfusion reaction were recorded.Results: In our study, about 7.84% of obstetric admission required blood and blood components. Most common indication for blood transfusion was anaemia either during antenatal or during postnatal period (33.91%). Majority of the patients were unbooked antenatally (63.91%) and were multiparous (93.91%). 4 or more blood transfusions were given in 28.26% of cases.Conclusions: Blood transfusion is live saving measure in many obstetric patients. Blood transfusion is an essential component of emergency obstetric care and appropriate blood transfusion significantly reduces maternal mortality. Severe anaemia is the most common condition requiring blood transfusion, which may be chronic due to nutritional deficiency or following acute blood loss, followed by postpartum haemorrhage, placental abruption and placenta previa. Availability of transfusion facility and blood products in obstetric care setting in peripheral health centres can reduce need for referral of patients and indirectly reduce the maternal morbidity and mortality.

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