Evaluation of Hematological Parameters in Partial Exchange and Packed Cell Transfusion in Treatment of Severe Anemia in Pregnancy

Objectives. Anemia is a major public health problem throughout the world which assumes prominence in pregnant mothers. Patients with severe anemia continue to present themselves at term or in labor. This study was conducted to compare the improvements in hematological parameters of patients receivin...

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Main Authors: Sudha Salhan, Vrijesh Tripathi, Rajvir Singh, Harsha S. Gaikwad
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Anemia
Online Access:http://dx.doi.org/10.1155/2012/608658
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author Sudha Salhan
Vrijesh Tripathi
Rajvir Singh
Harsha S. Gaikwad
author_facet Sudha Salhan
Vrijesh Tripathi
Rajvir Singh
Harsha S. Gaikwad
author_sort Sudha Salhan
collection DOAJ
description Objectives. Anemia is a major public health problem throughout the world which assumes prominence in pregnant mothers. Patients with severe anemia continue to present themselves at term or in labor. This study was conducted to compare the improvements in hematological parameters of patients receiving partial exchange blood transfusion and transfusion of packed cells without exchange. Methods. One hundred and twenty-five severely anemic antenatal mothers were admitted from outpatient service. Partial exchange transfusion was given to sixty-six patients while fifty-nine received transfusion of packed cells with frusemide cover. Results. The two groups were comparable in terms of age, height, weight, religion, diet, education, occupation of self and husband, and income. Hemoglobin level in Group 1 was comparatively less than Group 2 at prelevel (5.2±1.5 versus 6.6±2.3, P=0.001) and postlevel (7.2±1.5 versus 8.6±1.8, P=0.001), respectively, but there was no significant difference between the two modes of transfusion (2.09±1.6 versus 2.01±1.5, P=0.78). Conclusion. The study produced an equally significant improvement in hematological parameters in partial exchange and packed cell transfusion. Platelet counts were significantly less in partial exchange as compared with packed cell transfusion.
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institution Kabale University
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series Anemia
spelling doaj-art-445afbee3d2e4c23a6bf35c329a7a1d32025-02-03T05:46:56ZengWileyAnemia2090-12672090-12752012-01-01201210.1155/2012/608658608658Evaluation of Hematological Parameters in Partial Exchange and Packed Cell Transfusion in Treatment of Severe Anemia in PregnancySudha Salhan0Vrijesh Tripathi1Rajvir Singh2Harsha S. Gaikwad3Department of Obstetrics & Gynecology, Hamdard Institute of Medical Sciences & Research, New Delhi 110062, IndiaThe Department of Mathematics & Statistics, The University of the West Indies, St. Augustine Campus, Trinidad and TobagoMedical Research Centre and Cardiology, CCS Department, Hamad Medical Corporation (HMC), Doha, QatarDepartment of Obstetrics & Gynecology, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi 110029, IndiaObjectives. Anemia is a major public health problem throughout the world which assumes prominence in pregnant mothers. Patients with severe anemia continue to present themselves at term or in labor. This study was conducted to compare the improvements in hematological parameters of patients receiving partial exchange blood transfusion and transfusion of packed cells without exchange. Methods. One hundred and twenty-five severely anemic antenatal mothers were admitted from outpatient service. Partial exchange transfusion was given to sixty-six patients while fifty-nine received transfusion of packed cells with frusemide cover. Results. The two groups were comparable in terms of age, height, weight, religion, diet, education, occupation of self and husband, and income. Hemoglobin level in Group 1 was comparatively less than Group 2 at prelevel (5.2±1.5 versus 6.6±2.3, P=0.001) and postlevel (7.2±1.5 versus 8.6±1.8, P=0.001), respectively, but there was no significant difference between the two modes of transfusion (2.09±1.6 versus 2.01±1.5, P=0.78). Conclusion. The study produced an equally significant improvement in hematological parameters in partial exchange and packed cell transfusion. Platelet counts were significantly less in partial exchange as compared with packed cell transfusion.http://dx.doi.org/10.1155/2012/608658
spellingShingle Sudha Salhan
Vrijesh Tripathi
Rajvir Singh
Harsha S. Gaikwad
Evaluation of Hematological Parameters in Partial Exchange and Packed Cell Transfusion in Treatment of Severe Anemia in Pregnancy
Anemia
title Evaluation of Hematological Parameters in Partial Exchange and Packed Cell Transfusion in Treatment of Severe Anemia in Pregnancy
title_full Evaluation of Hematological Parameters in Partial Exchange and Packed Cell Transfusion in Treatment of Severe Anemia in Pregnancy
title_fullStr Evaluation of Hematological Parameters in Partial Exchange and Packed Cell Transfusion in Treatment of Severe Anemia in Pregnancy
title_full_unstemmed Evaluation of Hematological Parameters in Partial Exchange and Packed Cell Transfusion in Treatment of Severe Anemia in Pregnancy
title_short Evaluation of Hematological Parameters in Partial Exchange and Packed Cell Transfusion in Treatment of Severe Anemia in Pregnancy
title_sort evaluation of hematological parameters in partial exchange and packed cell transfusion in treatment of severe anemia in pregnancy
url http://dx.doi.org/10.1155/2012/608658
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