Comparison of group O Rh(D)− red blood cell use in pregnant women across hospitals of various sizes and obstetric capabilities prior to the introduction of patient blood management guidelines

Patterson, JA; Hirani, R; Irving, DO; Nicholl, MC; Ford, JB

Comparison of group O Rh(D)− red blood cell use in pregnant women across hospitals of various sizes and obstetric capabilities prior to the introduction of patient blood management guidelines

Patterson, JA Hirani, R Irving, DO Nicholl, MC Ford, JB

Permalink

Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Australian and New Zealand Journal of Obstetrics and Gynaecology, 2020, 60, (4), pp. 498-503
Issue Date:: 2020

Closed Access

	Filename	Description	Size
	ajo.13043.pdf	Published Version	596.42 kB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Patterson, JA
dc.contributor.author	Hirani, R
dc.contributor.author	Irving, DO
dc.contributor.author	Nicholl, MC
dc.contributor.author	Ford, JB
dc.date.accessioned	2021-04-01T02:45:08Z
dc.date.available	2019-07-01
dc.date.available	2021-04-01T02:45:08Z
dc.date.issued	2020
dc.identifier.citation	Australian and New Zealand Journal of Obstetrics and Gynaecology, 2020, 60, (4), pp. 498-503
dc.identifier.issn	0004-8666
dc.identifier.issn	1479-828X
dc.identifier.uri	http://hdl.handle.net/10453/147778
dc.description.abstract	<h4>Background</h4>O Rh(D)- red blood cell (RBC) units can generally be transfused to most patients regardless of their ABO blood type and are frequently used during emergency situations. Detailed usage patterns of O Rh(D)- RBC units in obstetric populations have not been well characterised. With the introduction of patient blood management guidelines, historical usage patterns are important for providing comparative data.<h4>Aims</h4>To determine how the use of O Rh(D)- RBC units in pregnant women differs between hospitals of different sizes and obstetric capabilities prior to patient blood management guidelines.<h4>Methods</h4>Data from 67 New South Wales public hospital blood banks were linked with hospital and perinatal databases to identify RBC transfusions during pregnancy, birth and postnatally between July 2006 and December 2010. RBC transfusions were divided into O Rh(D)- or other blood types. Hospitals were classified according to birth volume, obstetric capability and location, with transfusions classified by timing and diagnosis.<h4>Results</h4>Of the 12 078 RBC units transfused into pregnant women, 1062 (8.8%) were O Rh(D)-. Higher use of O Rh(D)- RBC units was seen in antenatal transfusions, preterm deliveries and in regional or smaller hospitals. There was wide variation in rates of O Rh(D)- RBC transfusion among hospitals.<h4>Conclusions</h4>The rate of O Rh(D)- RBC unit use in obstetrics was lower during the period assessed than the nationally reported usage. It is encouraging that O Rh(D)- RBCs were more commonly used in emergency or specialised situations, or in facilities where holding a large blood inventory is not feasible.
dc.format	Print-Electronic
dc.language	en
dc.publisher	Wiley
dc.relation.ispartof	Australian and New Zealand Journal of Obstetrics and Gynaecology
dc.relation.isbasedon	10.1111/ajo.13043
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1114 Paediatrics and Reproductive Medicine, 1117 Public Health and Health Services
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.subject.mesh	Erythrocytes
dc.subject.mesh	Humans
dc.subject.mesh	Rh-Hr Blood-Group System
dc.subject.mesh	Blood Transfusion
dc.subject.mesh	Pregnancy
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Pregnant Women
dc.subject.mesh	Hospitals
dc.subject.mesh	New South Wales
dc.subject.mesh	Female
dc.subject.mesh	Blood Transfusion
dc.subject.mesh	Erythrocytes
dc.subject.mesh	Female
dc.subject.mesh	Hospitals
dc.subject.mesh	Humans
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	New South Wales
dc.subject.mesh	Pregnancy
dc.subject.mesh	Pregnant Women
dc.subject.mesh	Rh-Hr Blood-Group System
dc.title	Comparison of group O Rh(D)− red blood cell use in pregnant women across hospitals of various sizes and obstetric capabilities prior to the introduction of patient blood management guidelines
dc.type	Journal Article
utslib.citation.volume	60
utslib.location.activity	Australia
utslib.for	1114 Paediatrics and Reproductive Medicine
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
pubs.consider-herdc	true
dc.date.updated	2021-04-01T02:45:07Z
pubs.issue	4
pubs.publication-status	Published online
pubs.volume	60
utslib.citation.issue	4

Abstract:

Background

O Rh(D)- red blood cell (RBC) units can generally be transfused to most patients regardless of their ABO blood type and are frequently used during emergency situations. Detailed usage patterns of O Rh(D)- RBC units in obstetric populations have not been well characterised. With the introduction of patient blood management guidelines, historical usage patterns are important for providing comparative data.

Aims

To determine how the use of O Rh(D)- RBC units in pregnant women differs between hospitals of different sizes and obstetric capabilities prior to patient blood management guidelines.

Methods

Data from 67 New South Wales public hospital blood banks were linked with hospital and perinatal databases to identify RBC transfusions during pregnancy, birth and postnatally between July 2006 and December 2010. RBC transfusions were divided into O Rh(D)- or other blood types. Hospitals were classified according to birth volume, obstetric capability and location, with transfusions classified by timing and diagnosis.

Results

Of the 12 078 RBC units transfused into pregnant women, 1062 (8.8%) were O Rh(D)-. Higher use of O Rh(D)- RBC units was seen in antenatal transfusions, preterm deliveries and in regional or smaller hospitals. There was wide variation in rates of O Rh(D)- RBC transfusion among hospitals.

Conclusions

The rate of O Rh(D)- RBC unit use in obstetrics was lower during the period assessed than the nationally reported usage. It is encouraging that O Rh(D)- RBCs were more commonly used in emergency or specialised situations, or in facilities where holding a large blood inventory is not feasible.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/147778