Publication:

Assessment of blood transfusion practices in antenatal women and their adherence to standard transfusion guidelines

Background Blood transfusion is an important component of obstetric care and is frequently required in antenatal women with severe anemia, obstetric complications, and conditions associated with increased maternal and fetal risk. Appropriate utilization of blood and blood products according to established transfusion guidelines is essential to ensure patient safety and optimal use of blood resources. To assess blood transfusion practices among antenatal women and evaluate their adherence to standard transfusion guidelines.

Methods A hospital-based observational study was conducted among 133 antenatal women who received blood transfusions during the study period. Demographic characteristics, obstetric profile, blood group distribution, hematological parameters, and transfusion-related variables were recorded using a structured proforma. Data were obtained from patient records, laboratory reports, and blood bank registers. Statistical analysis was performed using SPSS version 25.0. Continuous variables were expressed as mean ± standard deviation, while categorical variables were presented as frequencies and percentages. Pearson correlation analysis was used to assess associations between selected variables.

Results The mean age of the participants was 26.87±5.19 years. The majority were Muslims (67.7%) and belonged to the B positive blood group (34.6%). The most common parity status was G2P1L1 (23.3%), followed by primigravida women (21.8%). All blood transfusions (100%) were issued through the institutional blood bank. The mean hemoglobin level was 8.84±2.96 g/dl, indicating that anemia was a major indication for transfusion. Correlation analysis demonstrated a strong positive association between BD and BS parameters (r=0.831, p<0.001) and a weak positive correlation between BD and hemoglobin levels (r=0.286, p=0.004).

Conclusion Blood transfusions in antenatal women were predominantly administered for moderate to severe anemia. Standardized blood bank services facilitated uniform transfusion practices. Regular transfusion audits, adherence to evidence-based guidelines, and early management of antenatal anemia are essential for optimizing maternal outcomes and ensuring rational utilization of blood products.