Outcomes of audit on blood requisition and utilization in obstetrics and gynaecology setting: Aminu Kano Teaching Hospital, Kano, Nigeria

Abstract

Background: Indications for transfusion in obstetrics may be emergent as well as non-emergent: the keystone of transfusion practice is that it should be appropriate, that is, not given when not required and not missed when required
Objectives: To identify key areas where there is a need to change policy so as to prevent unnecessary blood transfusion, to formulate strategies for appropriate preoperative blood requisition and to change clinicians’ approach regarding blood component utilization.
Results: The mean age was 30.04 years (SD ± 8.08) and ranged from 16 to 70 years. The incidence of blood transfusion among all admissions was 418 out of 3078 (13.6%). The mean pre-transfusion PCV for patients who received blood transfusion was 23.06 ± 6.1% compared to 34.2 ± 4.54% obtained in the non-transfused patients. Only 59.8% of blood was utilized while 40.2% of blood was not needed.
Conclusion: Current practice at O&G department, AKTH appears to be generally inconsistent with the guidelines. This indicates inefficient transfusion practice when comparing with the standard.