Journal of Blood Medicine (May 2022)

Prevalence and Associated Factors for Post-Caesarean Delivery Blood Transfusion in Eastern Sudan: A Cross-Sectional Study

  • Mandar O,
  • Hassan B,
  • Abdelbagi O,
  • Eltayeb R,
  • ALhabardi N,
  • Adam I

Journal volume & issue
Vol. Volume 13
pp. 219 – 227

Abstract

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Omer Mandar,1 Bahaeldin Hassan,2 Omer Abdelbagi,1 Reem Eltayeb,1 Nadia ALhabardi,3 Ishag Adam3 1Department of Obstetrics and Gynecology, Faculty of Medicine, Gadarif University, Gadarif, Sudan; 2Department of Obstetrics and Gynecology, College of Medicine, King Khalid University, Abha, Saudi Arabia; 3Department of Obstetrics and Gynecology, Unaizah College of Medicine and Medical Sciences, Qassim University, Unaizah, Kingdom of Saudi ArabiaCorrespondence: Omer Mandar, Department of Obstetrics and Gynecology, Faculty of Medicine, Gadarif University, P.O Box 449, Gadarif, 32211, Sudan, Fax +249 44143162, Email [email protected]: Obstetric haemorrhage is a leading cause of maternal mortality and morbidity worldwide. Caesarean delivery (CD) is associated with significant blood loss, which may require blood transfusions. This study aimed to determine the prevalence and associated factors for post-CD transfusion.Methods: A cross-sectional study was conducted in Gadarif maternity hospital, eastern Sudan, from March to September 2020. Sociodemographic, obstetric and clinical data, including pre- and postoperative haemoglobin levels, were collected. A multivariate logistic regression analysis was performed.Results: A total of 539 women were enrolled in the study; the median (interquartile range) age of these women was 28.0 (8.0) years. The overall post-CD transfusion rate was 8.2%. Emergency CD (adjusted odds ratio [AOR]=2.57, 95% confidence interval [CI]=1.25‒5.28) and antepartum haemorrhage (AOR=44.70, 95% CI=11.18‒178.76) were associated with increased risk of post-CD blood transfusion. Preoperative haemoglobin (AOR=0.48, 95% CI=0.36‒0.64) and rural residence (AOR=0.45, 95% CI=0.22‒0.93) were associated with reduced risk for post-CD blood transfusion.Conclusion: The overall prevalence of post-CD transfusion in this part of Sudan is 8.2%. Women with emergency CD, low preoperative haemoglobin levels and antepartum haemorrhage were at higher risk for post-CD transfusion. Risk identification and correction of antenatal anaemia can reduce the hazard of blood transfusion among CD women.Keywords: caesarean delivery, blood transfusion, haemoglobin, antepartum haemorrhage, Sudan

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