Blood transfusion in obstetrics: attitude and perceptions of pregnant women.

Background : Obstetrics haemorrhage is the leading cause of preventable maternal deaths worldwide. Blood transfusion is pivotal to death reduction, but are the women aware of its importance? Objectives : The study investigated the view of a population of pregnant women on obstetrics related blood transfusion. Methods : Structured questionnaires with sections on bio-social variables, obstetrics and surgical history, history of index pregnancy and blood transfusion related questions were administered to 500, randomly selected women who consented to the study. The findings were statistically analyzed. Results : The major predictors of acceptability of blood transfusion were previous delivery of still born baby (p=0.046), ante- partum haemorrhage (p= 0.004) and the threat of death (p= 0.016) Conclusion : Fifty four percent of the participants would not accept blood transfusion in pregnancy, however, if it were a lifesaving option the percentage was reduced to 31%.

[1]  J. Lawn,et al.  Sub-Saharan Africa's Mothers, Newborns, and Children: Where and Why Do They Die? , 2010, PLoS medicine.

[2]  H. Qublan,et al.  Blood transfusion in obstetrics: The pregnant women's point of view , 2009, Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology.

[3]  R. Stephenson,et al.  Utilization of maternal health care services in the department of Matagalpa, Nicaragua. , 2008, Revista panamericana de salud publica = Pan American journal of public health.

[4]  A. Kunst,et al.  Social inequalities in health care services utilisation after eight years of health care reforms: a cross-sectional study of Estonia, 1999. , 2005, Social science & medicine.

[5]  P. Lumbiganon,et al.  Accuracy of the blood loss estimation in the third stage of labor , 2000, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[6]  L. Aledort,et al.  Obstetrical and gynaecological bleeding: a common presenting symptom. , 2000, Clinical and laboratory haematology.

[7]  D. Sharp Jehovah's Witnesses' blood policy , 2000, The Lancet.

[8]  S. Etuk,et al.  Maternal mortality following post-partum haemorrhage in Calabar a 6-year review. , 1997, West African journal of medicine.

[9]  D. Mtasiwa,et al.  Utilisation of government and private health services in Dar es Salaam. , 1996, East African medical journal.

[10]  D. Wlody,et al.  Maternal haemorrhage. , 2009, British journal of anaesthesia.

[11]  W. McIntyre Ante-partum and post-partum haemorrhage. , 1949, The Medical journal of Australia.