Obstetric blood transfusion in placenta previa patients with prenatal anemia: a retrospective study
Abstract Background The appropriate use of obstetric blood transfusion is crucial for patients with placenta previa and prenatal anemia. This retrospective study aims to explore the correlation between prenatal anemia and blood transfusion-related parameters in this population. Methods We retrieved...
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| Format: | Article |
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BMC
2024-01-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | https://doi.org/10.1186/s12884-024-06279-4 |
| _version_ | 1827325810904662016 |
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| author | Baolian Zhang Hong Liu Haiyan Li Jia Wang He Zhu Peijia Yu Xianghua Huang Wenli Wang |
| author_facet | Baolian Zhang Hong Liu Haiyan Li Jia Wang He Zhu Peijia Yu Xianghua Huang Wenli Wang |
| author_sort | Baolian Zhang |
| collection | DOAJ |
| description | Abstract Background The appropriate use of obstetric blood transfusion is crucial for patients with placenta previa and prenatal anemia. This retrospective study aims to explore the correlation between prenatal anemia and blood transfusion-related parameters in this population. Methods We retrieved the medical records of consecutive participants who were diagnosed with placenta previa and underwent cesarean section in our hospital. We compared the baseline demographics and clinical characteristics of patients with and without anemia. The correlation between prenatal anemia and obstetric blood transfusion-related parameters was evaluated using multivariate regression analysis. Results A total of 749 patients were enrolled, with a mean prenatal hemoglobin level of 10.87 ± 1.37 g/dL. Among them, 54.87% (391/749) were diagnosed with anemia. The rate of obstetric blood transfusion was significantly higher in the anemia group (79.54%) compared to the normal group (44.41%). The median allogeneic red blood cell transfusion volume in the anemia group was 4.00 U (IQR 2.00–6.00), while in the normal group, it was 0.00 U (IQR 0.00–4.00). The prenatal hemoglobin levels had a non-linear relationship with intraoperative allogeneic blood transfusion rate, massive blood transfusion rate, red blood cell transfusion units, and fresh plasma transfusion volume in patients with placenta previa, with a threshold of 12 g/dL. Conclusions Our findings suggest that prenatal anemia is associated with a higher rate of blood transfusion-related parameters in women with placenta previa when the hemoglobin level is < 12 g/dL. These results highlight the importance of promoting prenatal care in placenta previa patients with a high requirement for blood transfusion. |
| first_indexed | 2024-03-07T14:35:44Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-03-07T14:35:44Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-453cc53ecf4340cea99a07c04897bab12024-03-05T20:39:46ZengBMCBMC Pregnancy and Childbirth1471-23932024-01-012411810.1186/s12884-024-06279-4Obstetric blood transfusion in placenta previa patients with prenatal anemia: a retrospective studyBaolian Zhang0Hong Liu1Haiyan Li2Jia Wang3He Zhu4Peijia Yu5Xianghua Huang6Wenli Wang7Department of Physical Examination Center, The Second Hospital of Hebei Medical UniversityDepartment of Physical Examination Center, The Second Hospital of Hebei Medical UniversityDepartment of Ultrasound in Obstetrics and Gynecology, The Second Hospital of Hebei Medical UniversityDepartment of Quality Control, The Second Hospital of Hebei Medical UniversityDepartment of Gynecology and Obstetrics, The Second Hospital of Hebei Medical UniversityDepartment of Medical Record, The Second Hospital of Hebei Medical UniversityDepartment of Gynecology and Obstetrics, The Second Hospital of Hebei Medical UniversityDepartment of Gynecology and Obstetrics, The Second Hospital of Hebei Medical UniversityAbstract Background The appropriate use of obstetric blood transfusion is crucial for patients with placenta previa and prenatal anemia. This retrospective study aims to explore the correlation between prenatal anemia and blood transfusion-related parameters in this population. Methods We retrieved the medical records of consecutive participants who were diagnosed with placenta previa and underwent cesarean section in our hospital. We compared the baseline demographics and clinical characteristics of patients with and without anemia. The correlation between prenatal anemia and obstetric blood transfusion-related parameters was evaluated using multivariate regression analysis. Results A total of 749 patients were enrolled, with a mean prenatal hemoglobin level of 10.87 ± 1.37 g/dL. Among them, 54.87% (391/749) were diagnosed with anemia. The rate of obstetric blood transfusion was significantly higher in the anemia group (79.54%) compared to the normal group (44.41%). The median allogeneic red blood cell transfusion volume in the anemia group was 4.00 U (IQR 2.00–6.00), while in the normal group, it was 0.00 U (IQR 0.00–4.00). The prenatal hemoglobin levels had a non-linear relationship with intraoperative allogeneic blood transfusion rate, massive blood transfusion rate, red blood cell transfusion units, and fresh plasma transfusion volume in patients with placenta previa, with a threshold of 12 g/dL. Conclusions Our findings suggest that prenatal anemia is associated with a higher rate of blood transfusion-related parameters in women with placenta previa when the hemoglobin level is < 12 g/dL. These results highlight the importance of promoting prenatal care in placenta previa patients with a high requirement for blood transfusion.https://doi.org/10.1186/s12884-024-06279-4Placenta previaPrenatal anemiaObstetric blood transfusionHemoglobinRetrospective |
| spellingShingle | Baolian Zhang Hong Liu Haiyan Li Jia Wang He Zhu Peijia Yu Xianghua Huang Wenli Wang Obstetric blood transfusion in placenta previa patients with prenatal anemia: a retrospective study BMC Pregnancy and Childbirth Placenta previa Prenatal anemia Obstetric blood transfusion Hemoglobin Retrospective |
| title | Obstetric blood transfusion in placenta previa patients with prenatal anemia: a retrospective study |
| title_full | Obstetric blood transfusion in placenta previa patients with prenatal anemia: a retrospective study |
| title_fullStr | Obstetric blood transfusion in placenta previa patients with prenatal anemia: a retrospective study |
| title_full_unstemmed | Obstetric blood transfusion in placenta previa patients with prenatal anemia: a retrospective study |
| title_short | Obstetric blood transfusion in placenta previa patients with prenatal anemia: a retrospective study |
| title_sort | obstetric blood transfusion in placenta previa patients with prenatal anemia a retrospective study |
| topic | Placenta previa Prenatal anemia Obstetric blood transfusion Hemoglobin Retrospective |
| url | https://doi.org/10.1186/s12884-024-06279-4 |
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