@article{Singh_Adhikari_Ghimire_Dhital_2015, title={Post-Operative Drop in Hemoglobin and Need of Blood Transfusion in Cesarean Section at Dhulikhel Hospital, Kathmandu University Hospital}, volume={11}, url={https://www.nepjol.info/index.php/KUMJ/article/view/12490}, DOI={10.3126/kumj.v11i2.12490}, abstractNote={<p class="Pa10"><strong>Background </strong></p> <p class="Pa14">Cesarean section has been identified as one of the commonest indication for blood transfusion in obstetric practice because it involves risk of major intra-operative blood loss. Different figures varying from less than 500 ml to more than 1000 ml have been quoted as estimated blood loss associated with caesarean section. There is also a wide variation in blood ordering practices for this surgery.</p> <p class="Pa14"><strong>Objective </strong></p> <p class="Pa14">The objective of this study is to evaluate the blood ordering practice and transfusion for cesarean sections at our institute, to see post-operative drop in hemoglobin and hematocrit and to correlate those parameters with the duration between uterine incision and repair.</p> <p class="Pa14"><strong>Methods </strong></p> <p class="Pa14">In this prospective observational study, non-randomised purposive sample was taken from 121 ladies who underwent elective and emergency cesarean section at the department of obstetrics of Dhulikhel Hospital-Kathmandu University Hospital. Post-cesarean drop in hemoglobin and hematocrit and their relation with duration of uterine manipulation was calculated. Cross-match to transfusion (C/T ratio) ratio, transfusion probability (%T) and transfusion index (Ti) were also calculated.</p> <p class="Pa14"><strong>Results </strong></p> <p class="Pa14">Most frequent blood group was found to be O positive (38%) among those ladies. Average post-cesarean drop in hemoglobin was 1.52±1.27 gm/dl and drop in haematocrit was 5.49±4.1%. Post-operative drop in hemoglobin and haematocrit had weak and positive linear relation with duration between uterine incision and repair. Cross-match to transfusion ratio was 1, transfusion probability 100% and transfusion index was 2.</p> <p class="Pa14"><strong>Conclusion </strong></p> <p class="Default">There is no need of routine cross-matching of blood for cesarean section. Only grouping with confirmation of availability should be done for emergency situation.</p> <p>DOI: <a href="http://dx.doi.org/10.3126/kumj.v11i2.12490">http://dx.doi.org/10.3126/kumj.v11i2.12490</a></p> <p>Kathmandu University Medical Journal Vol.11(2) 2013: 144-146</p>}, number={2}, journal={Kathmandu University Medical Journal}, author={Singh, B and Adhikari, N and Ghimire, S and Dhital, S}, year={2015}, month={May}, pages={144–146} }