Transfusion medicine in obstetrics and gynecology

Joseph Santoso, David W. Lin, David S. Miller

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Obstetricians and Gynecologists care for many patients with conditions potentially requiring blood transfusions. Cesarean section and hysterectomy are the two surgeries performed most frequently and both have the potential for blood loss requiring transfusion. Other examples include postpartum hemorrhage, placenta previa, and ruptured ectopic pregnancy. Obstetricians and gynecologists need to become knowledgeable about the ever-changing aspects of blood transfusion and apply it in their clinical practice. This review intends to update obstetricians and gynecologists and other health care professionals about the basic as well as the latest technologies of blood transfusion. The different types of blood components are discussed including their preparation, indications, risks, and benefits. The complications of blood transfusion and their management are reviewed, including infectious, noninfectious, and immunological etiologies. HIV and hepatitis are explored, these being the most serious infectious risks of transfusion. Autologous blood transfusion, an underutilized option, is examined. Hemodilution and intraoperative blood salvage, other techniques for using the patient's own blood, are discussed. Finally, synthetic agents such as erythropoietin, granulocyte colony-stimulating factors, desmopressin acetate, gonadotropin-releasing hormone agonists, and new products are introduced as potential replacements to blood transfusion in the future.

Original languageEnglish (US)
Pages (from-to)470-481
Number of pages12
JournalObstetrical and Gynecological Survey
Volume50
Issue number6
DOIs
StatePublished - Jan 1 1995
Externally publishedYes

Fingerprint

Transfusion Medicine
Gynecology
Blood Transfusion
Obstetrics
Operative Blood Salvage
Placenta Previa
Autologous Blood Transfusions
Postpartum Hemorrhage
Deamino Arginine Vasopressin
Hemodilution
Ectopic Pregnancy
Granulocyte Colony-Stimulating Factor
Erythropoietin
Hysterectomy
Gonadotropin-Releasing Hormone
Cesarean Section
Hepatitis
Patient Care
HIV
Technology

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology

Cite this

Transfusion medicine in obstetrics and gynecology. / Santoso, Joseph; Lin, David W.; Miller, David S.

In: Obstetrical and Gynecological Survey, Vol. 50, No. 6, 01.01.1995, p. 470-481.

Research output: Contribution to journalArticle

Santoso, Joseph ; Lin, David W. ; Miller, David S. / Transfusion medicine in obstetrics and gynecology. In: Obstetrical and Gynecological Survey. 1995 ; Vol. 50, No. 6. pp. 470-481.
@article{2a6d90fe56e743f796f92f760a9136f7,
title = "Transfusion medicine in obstetrics and gynecology",
abstract = "Obstetricians and Gynecologists care for many patients with conditions potentially requiring blood transfusions. Cesarean section and hysterectomy are the two surgeries performed most frequently and both have the potential for blood loss requiring transfusion. Other examples include postpartum hemorrhage, placenta previa, and ruptured ectopic pregnancy. Obstetricians and gynecologists need to become knowledgeable about the ever-changing aspects of blood transfusion and apply it in their clinical practice. This review intends to update obstetricians and gynecologists and other health care professionals about the basic as well as the latest technologies of blood transfusion. The different types of blood components are discussed including their preparation, indications, risks, and benefits. The complications of blood transfusion and their management are reviewed, including infectious, noninfectious, and immunological etiologies. HIV and hepatitis are explored, these being the most serious infectious risks of transfusion. Autologous blood transfusion, an underutilized option, is examined. Hemodilution and intraoperative blood salvage, other techniques for using the patient's own blood, are discussed. Finally, synthetic agents such as erythropoietin, granulocyte colony-stimulating factors, desmopressin acetate, gonadotropin-releasing hormone agonists, and new products are introduced as potential replacements to blood transfusion in the future.",
author = "Joseph Santoso and Lin, {David W.} and Miller, {David S.}",
year = "1995",
month = "1",
day = "1",
doi = "10.1097/00006254-199506000-00023",
language = "English (US)",
volume = "50",
pages = "470--481",
journal = "Obstetrical and Gynecological Survey",
issn = "0029-7828",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Transfusion medicine in obstetrics and gynecology

AU - Santoso, Joseph

AU - Lin, David W.

AU - Miller, David S.

PY - 1995/1/1

Y1 - 1995/1/1

N2 - Obstetricians and Gynecologists care for many patients with conditions potentially requiring blood transfusions. Cesarean section and hysterectomy are the two surgeries performed most frequently and both have the potential for blood loss requiring transfusion. Other examples include postpartum hemorrhage, placenta previa, and ruptured ectopic pregnancy. Obstetricians and gynecologists need to become knowledgeable about the ever-changing aspects of blood transfusion and apply it in their clinical practice. This review intends to update obstetricians and gynecologists and other health care professionals about the basic as well as the latest technologies of blood transfusion. The different types of blood components are discussed including their preparation, indications, risks, and benefits. The complications of blood transfusion and their management are reviewed, including infectious, noninfectious, and immunological etiologies. HIV and hepatitis are explored, these being the most serious infectious risks of transfusion. Autologous blood transfusion, an underutilized option, is examined. Hemodilution and intraoperative blood salvage, other techniques for using the patient's own blood, are discussed. Finally, synthetic agents such as erythropoietin, granulocyte colony-stimulating factors, desmopressin acetate, gonadotropin-releasing hormone agonists, and new products are introduced as potential replacements to blood transfusion in the future.

AB - Obstetricians and Gynecologists care for many patients with conditions potentially requiring blood transfusions. Cesarean section and hysterectomy are the two surgeries performed most frequently and both have the potential for blood loss requiring transfusion. Other examples include postpartum hemorrhage, placenta previa, and ruptured ectopic pregnancy. Obstetricians and gynecologists need to become knowledgeable about the ever-changing aspects of blood transfusion and apply it in their clinical practice. This review intends to update obstetricians and gynecologists and other health care professionals about the basic as well as the latest technologies of blood transfusion. The different types of blood components are discussed including their preparation, indications, risks, and benefits. The complications of blood transfusion and their management are reviewed, including infectious, noninfectious, and immunological etiologies. HIV and hepatitis are explored, these being the most serious infectious risks of transfusion. Autologous blood transfusion, an underutilized option, is examined. Hemodilution and intraoperative blood salvage, other techniques for using the patient's own blood, are discussed. Finally, synthetic agents such as erythropoietin, granulocyte colony-stimulating factors, desmopressin acetate, gonadotropin-releasing hormone agonists, and new products are introduced as potential replacements to blood transfusion in the future.

UR - http://www.scopus.com/inward/record.url?scp=0029015919&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029015919&partnerID=8YFLogxK

U2 - 10.1097/00006254-199506000-00023

DO - 10.1097/00006254-199506000-00023

M3 - Article

C2 - 7659395

AN - SCOPUS:0029015919

VL - 50

SP - 470

EP - 481

JO - Obstetrical and Gynecological Survey

JF - Obstetrical and Gynecological Survey

SN - 0029-7828

IS - 6

ER -