Antepartum hemorrhage due to placenta previa with autologous transfusion: A case report.

Int J Surg Case Rep

Anesthesiology and Intensive Care Department, RSUD Dr. Moewardi, Faculty of Medicine, Universitas Sebelas Maret, Surakarta 57126, Indonesia.

Published: August 2024

Introduction And Importance: Bleeding during pregnancy or during childbirth can cause significant morbidity and mortality for the mother and baby, this can be overcome by performing a caesarean section (C-section) and blood transfusions. Although blood transfusions can save lives, there is a risk such as transfusion reactions, transmission of infection, and anaphylaxis. Giving autologous blood transfusion can reduce the risk of these events. This case report aims to investigate the advantages of autologous blood transfusion in managing the patient's hemodynamic status compared to homologous blood transfusion.

Case Presentation: A 21-year-old female (G2P1A0) with antepartum hemorrhage (APH) due to placenta previa underwent emergency C-section with intrauterine device installation and hysterectomy. The patient received an autologous transfusion to improving the hematocrits and hemoglobin within 30 min. Autologous transfusion provided routine postoperative hemodynamics, electrolytes, and blood stability. However, it could not completely replace homologous transfusion.

Clinical Discussion: Autologous transfusion reduces transfusion response, infection risk, and immunosuppression. Consequently, it reduces the need for allogenic blood supplies and enables safer transfusion for people with rare blood types and various auto-antibodies.

Conclusion: Autologous transfusions may provide better outcomes in C-section surgery for APH patients due to placenta previa. Thus, we recommend the use of autologous over homologous transfusion. Further research is required to compare them to a large population.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11298588PMC
http://dx.doi.org/10.1016/j.ijscr.2024.109999DOI Listing

Publication Analysis

Top Keywords

autologous transfusion
16
placenta previa
12
transfusion
10
antepartum hemorrhage
8
autologous
8
case report
8
blood
8
blood transfusions
8
autologous blood
8
blood transfusion
8

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!