The aim was to assess transfusion needs in the management of immediate
postpartum haemorrhage. Materials and Methods: this was a prospective,
descriptive, analytical study from 01 January 2018 to 31 October 2018 in the
gynecology and obstetrics department of the reference health center of
Kalaban-Coro (Mali). Results: During the study period we recorded 32
cases of transfusion of the immediate postpartum out of 109 cases of hemorrhage
or 29.35%; for a total of 2425 deliveries or a frequency of 1.31%. The main
indications for blood transfusion were: postpartum haemorrhage due to tearing
of the soft parts in 21.9%; retroplacental hematoma in 18.6%; uterine rupture
in 12.5%; and placenta previa covering hemorrhagic in 12.5%. More than half of the transfused were evacuees, or 62.5%. Unmet
transfusion requirements were 59.4%. The blood products requested were: whole
blood in 99% of cases and fresh frozen plasma in only 1% of cases. Conclusion: the need for labile blood products remains a reality in
obstetrics. The permanent availability of labile blood products improves the
prognosis of immediate postpartum haemorrhages.
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