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ORIGINAL ARTICLE
Year : 2010  |  Volume : 13  |  Issue : 2  |  Page : 139-143

Autologous blood donation and transfusion in obstetrics and gynaecology at the University of Maiduguri teaching hospital Maiduguri, Nigeria


1 Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria
2 Department of Haematology, University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria

Correspondence Address:
J Y Obed
Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, Maiduguri, Borno State
Nigeria
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Source of Support: None, Conflict of Interest: None


PMID: 20499744

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Objective: To evaluate the practicability of autologous blood donation and transfusion in the practice of obstetrics and gynaecology in our environment. Method: A prospective study of 1221 obstetric and gynaecological patients to which autologous blood donation and transfusion was carried out at the University of Maiduguri Teaching Hospital, Maiduguri over an 8 year period (January,1998toDecember, 2005). Results: During the study period, there were 15,267 blood transfusions in the UMTH out of which 5,711 were for Obstetric and Gynaecological patients given a transfusion rate of 47.7% in the unit. Out of the 5711 transfusion in the obstetrics and gynaecology, 1221 were by autologous means; a rate of 21.4%. Of the 3010 transfusion in obstetrics 625 (20.7%) were of autologous blood and of the 2711 transfusion in gynaecological patients 596 (22.1%) were of autologous blood. Preoperative blood donation was done in 598 (95.8%) of the obstetrics autologous blood donation out of which, 40 (6.4%) pre-deposited 2 units. Five hundred and sixty (94.1%) gynaecological patients had preoperative blood donation outofwhich,46(7.7%) predeposited2units. Induction of labour constitutes the major indication 337 (53.9%) for the autologous blood donation in obstetric while the major indication in gynaecology patients was myomectomy (25.7%).The main complications encountered were dizziness, and fainting attack that necessitated re-infusion in one patient. Conclusion: Autologous blood donation and transfusion procedure is feasible in the setting of obstetrics and gynaecology and it does not require high technical procedure.


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