A restrospective analysis of risk factors for blood transfusion during cesarean section and neonate outcomes
10.3760/cma.j.issn.0254-1416.2019.03.029
- VernacularTitle:剖宫产术中输血危险因素和新生儿转归的回顾性分析
- Author:
Ruijing MA
1
;
Kan ZHANG
;
Qingsong ZHAO
;
Yiyi TAO
;
Zhendong XU
;
Zhiqiang LIU
Author Information
1. 上海同济大学附属第一妇婴保健院麻醉科 201204
- Keywords:
Cesarean section;
Blood transfusion;
Risk factors;
Infant;
newborn;
Prognosis
- From:
Chinese Journal of Anesthesiology
2019;39(3):365-368
- CountryChina
- Language:Chinese
-
Abstract:
Objective To restrospectively analyze the risk factors for blood transfusion during ce-sarean section and neonate outcomes. Methods A total of 291 parturients ( 60 cases with blood transfusion during surgery and 231 cases without blood transfusion during surgery) who underwent cesarean section from November 2016 to March 2017 in our hospital were selected. The significant covariates in one-way analysis of variance were analyzed by logistic regression analysis. The odds ratio ( OR) and 95％ confidence interval ( CI) were calculated. The risk factors for blood transfusion during cesarean section were identified, and neonate outcomes were analyzed. Results Placenta increta, placenta accrete and pernicious placenta pre-via were the risk factors for blood transfusion during cesarean section, with OR value ( 95％ CI ) 13. 5 (2. 6-56. 8), 6. 1 (2. 1-11. 6) and 3. 3 (1. 6-8. 6), respectively. The prolonged gestational age was a protective factor, and the OR value ( 95％ CI) was 0. 3 ( 0. 2-0. 5) . The duration of operation, anesthesia time and length of hospital stay were significantly prolonged in blood transfusion group as compared with non-blood transfusion group ( P<0. 05) . The body weight and 1-min Apgar score of newborns were signifi-cantly lower in blood transfusion group than in non-blood transfusion group. Conclusion Placenta increta, placenta accrete and pernicious placenta previa are the risk factors for blood transfusion during cesarean sec-tion. Blood transfusion is not helpful for neonate outcomes.
