Hugues Ngwej Ilunga
University of Lubumbashi, ZairePresentation Title:
Blood transfusion in gynaecology and obstetrics: Current situation in three hospitals in Lubumbashi
Abstract
Introduction: Blood transfusion is a major and urgent medical-obstetric procedure. It has become common practice in the management of anemic genital hemorrhages and blood component deficiencies in gynecology and obstetrics. In obstetrics, its frequency varies from 1 to 3% of pregnancies. The objectives of the study were to determine the frequency, indications and main major complications, to analyze transfusion safety measures and conditions of access to blood transfusion, and to demonstrate the proportion of avoidable transfusions in Lubumbashi.
Methods: Prospective, cross-sectional and analytical study. Sociodemographic and clinical parameters were analyzed. The odds ratio and its confidence interval were calculated. The significance threshold was set at 5%.
Results: prevalence of 16%; average age 31.25 ± 7 years; housewives were in the majority (75%); secondary education level (60%). We had 36% of evacuees, women with few children represented 26.6%, more than half of pregnant women were full-term (52.3%), 67% were admitted with an altered general condition and 73% were obstetric emergencies. As for the diagnosis on admission, 7.7% were transfused due to ruptured ectopic pregnancy and 12.8% due to premature detachment of the normally inserted placenta. Hemorrhagic shock (37.4%) was the main indication and pruritus (2%) was the only complication. There was a significant correlation between multiple transfusions and the following parameters: altered general condition, pale conjunctiva and hemoglobin < 8 g%. In one in ten cases (10.8%), the transfusion was avoidable. The specific mortality rate after transfusion was 4% (40‰).
Conclusion: Our study shows that genital hemorrhage, especially in the third trimester of pregnancy, is the main reason for transfusion.
Biography
Hugues Ngwej Ilunga obtained his doctorate at the age of 27 from the university of Lubumbashi in the democratic republic of Congo (Zaire). he is a specialist in gynecology and obstetrics, a doctoral student at the faculty of medicine of the university of Lubumbashi, a member of the Congolese society of gynecologists and obstetricians, a member of the French national college of gynecologists and obstetricians, and a member of the department of gynecology and obstetrics at the faculty of medicine of the universities of Lubumbashi and Kolwezi. he is also vice-dean of the faculty of medicine at the university of Kolwezi. he is the author of more than 9 publications that have been cited more than 300 times. he is secretary of the scientific commission of the medical association
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