Rationale use of blood and its components in obstetric-gynecological practice

• Main Authors: Shakuntala Chhabra, Anu Namgyal
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2014-01-01
• Series: Journal of Mahatma Gandhi Institute of Medical Sciences
• Subjects: Blood transfusion; obstetric gynecologic practice; rationale use
• Online Access: http://www.jmgims.co.in/article.asp?issn=0971-9903;year=2014;volume=19;issue=2;spage=93;epage=99;aulast=Chhabra

Appropriate and rational use of blood/components is essential for ensuring availability for the needy as well as preventing risks of transfusion-transmitted diseases and saving resources. Rational use means providing the right blood or products, in the right quantity, to the right patient and at the right time, bridging demand, and supply gap. The safety, adequacy, and effectiveness can only be achieved if unnecessary transfusions can be prevented. Further, risk can be reduced, but cannot be eliminated completely. Alternative to banked blood, autologous blood donation, normovolemic hemodilution, and intraoperative cell salvage should be considered as possible options. Recombinant factor VIIa is a new adjunct for treatment of massive hemorrhage and should be considered, if available.