E-Book

E-Book 3rd Congress

  • Evaluation of blood and blood products consumption in gynecological surgeries in Shahid Sadoughi Hospital in Yazd
  • Aref Atefi,1,* Parisa Dehghan,2 Mohadese Zare Bidoki,3
    1. Infectious Diseases Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
    2. Infectious Diseases Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
    3. Faculty of Biological Sciences, Yazd University, Yazd, Iran


  • Introduction: Anemia and bleeding during and after childbirth are the most common causes of maternal death due to vaginal delivery and cesarean section. According to the CDC definition, anemia is diagnosed based on hemoglobin less than 11 mg/dl in the first and third trimesters and less than 10.5 mg/dl in the second trimester of pregnancy. Bleeding is one of the four leading causes of death for women who give birth after 20 weeks of pregnancy. Due to the high probability of bleeding and its complications during and after childbirth and gynecological surgeries, many blood units are routinely reserved before gynecological surgeries. Managing how to order and maintain the cold chain significantly reduces the financial burden on the country's health system. This study aimed to determine the consumption rate of blood and blood products in gynecological surgeries in Shahid Sadoughi Hospital in Yazd in 2016-2017.
  • Methods: The study is a cross-sectional descriptive study, and the sampling method is a census; The required information was also obtained through a questionnaire. Data were extracted through the hospital hemovigilance protocol and Hospital Information System (HIS) and analyzed by SPSS22 software.
  • Results: The mean age was 36.79±10.69, and the highest blood type was related to blood group O (40.1%). The highest demand for blood products was related to cesarean section (23.6%), followed by laparoscopy (15.1%). The most requested product was Packed red blood cells at 56.6%. In this study, 14 cases of immunological reactions were reported. The C/T level in the present study is 1.03, and the TI level is 2.1.
  • Conclusion: The result of the present study, by comparing the C/T and TI indices with the standard rate, shows the optimal status of blood demand and consumption. Improper transportation, lack of temperature monitoring in consumer centers, and ordering too much blood were among the causes of blood waste. It is suggested that the MSBOS program (Maximum Surgical Blood Ordering Schedule) be implemented prospectively in the studied sections, and then the amount of damage and the C/T ratio be compared with the previous one; In addition, periodic monitoring of requests for blood and products and periodic review and revision of MSBOS based on the experience of medical personnel at the same time as choosing logical methods of requesting blood, organizing the system of transporting blood and products from the hospital blood bank to the ward (injection site) for assurance It seems necessary to maintain the cold chain, fast transport and ensure quick access to the treatment department without delay immediately after declaring the need of the operating room.
  • Keywords: Blood and blood products, Gynecological Surgeries, MSBOS