Why group & save? Blood transfusion at low-risk elective caesarean section

被引：4

作者：

Stock, Owen ^{[1
]}

Beckmann, Michael ^{[2
,3
]}

机构：

[1] Univ Melbourne, Dept Obstet & Gynaecol, Mercy Hosp Women, Heidelberg, Vic 3084, Australia

[2] Mater Res & Mater Mothers Hosp, Womens Hlth Serv, Brisbane, Qld, Australia

[3] Mater Res & Mater Mothers Hosp, Newborn Serv, Brisbane, Qld, Australia

来源：

AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY | 2014年 / 54卷 / 03期

基金：

澳大利亚国家健康与医学研究理事会;

关键词：

birth; blood grouping and cross-matching; blood transfusion; caesarean section; health resources; COST-EFFECTIVENESS; VAGINAL DELIVERY; MULTICENTER; ANEMIA; TERM;

D O I：

10.1111/ajo.12177

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Women undergoing elective caesarean section (CS) routinely have a group and save ordered as part of their preoperative assessment, whereas women with expected vaginal birth do not. Our aim was therefore to determine the rate of blood transfusion at elective CS compared with vaginal birth in a large Australian maternity hospital. A retrospective cohort study was performed using routinely collected de-identified data of 35477 women, over 4years, who delivered at the Mater Mothers' Hospital, Brisbane, Australia. After excluding women with established risk factors for transfusion, the likelihood of blood transfusion following elective CS was significantly lower compared to vaginal birth (aOR 0.47 (0.29, 0.77)).

引用

页码：279 / 282

页数：4