Evaluation of transfusion practice in obstetric and gynecological emergency at the Teaching University Hospital Yalgado Ouédraogo, Ouagadougou in Burkina Faso
Keywords:
pratique transfusionnelle, Urgence obstétricale et gynécologique, Centre hospitalier universi taire, OuagadougouAbstract
Transfusion is a common practice in obstetrical and gynecological service.The transfusion and post trans fusion risks incurred, requires the use of best practices.
This is a prospective , descriptive cross-sectional study referred to which took place over a period of three months in the gynecology and obstetrics department of University Hospital Yalgado Ouedraogo in Ouagadougou. Data collection was made by a technique of direct observation and document review. During this period, the frequency of transfusion in the service was 1 1 .08 % compared to ail hospitalized patients. The average time to blood availability was 2 hours 46 minutes. Ali patients received transfusions of blood typing. Of ail blood grouping and Rh determination s, only 7.87 % had performed phenotyping and yet Kell. Also the search of irregular agglutinins has been made in any case. Compatibility testing at the bedside has not been performed in 72,62 % of cases and control of agreement has not been perfonned in 15.48 % of cases. Close surveillance of transfusion during the first ten minutes was not performed in 83.33 % of cases. The transmission rate of post transfusion sheets was 16%.
If transfusion is a common practice in our service, the study showed that efforts must be undertaken by respecting the transfusional best practice to pull the maximum of profit for the patients considered the incurred risks.
