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The use of blood and blood products in the maternity ward of Boitumelo Regional HospitalModiko, Serahome Obed 23 January 2013 (has links)
BACKGROUND: Recently, South African health system has been experiencing
shortage of blood and blood products due to increase in demand for conditions
(such as road accident injuries, assaults, surgery and complications of labour)
and decrease in supply due to conditions such as Human Immunodeficiency
Virus and Hepatitis B. This resulted in difficulty in managing conditions such as
obstetric haemorrhages which is one of the commonest causes of maternal
mortality and morbidity in South Africa. It was therefore important to monitor the
use of these products in South African hospitals to avoid inappropriate use as
well as to contain expenditure. However, no formal study has been done in
recent past to systematically study the use of blood and blood products in the
maternity units in these hospitals. The researcher believed that this study that
was conducted in the Boitumelo Regional Hospital based in the Free State would
provide evidence to provincial as well as institutional managers regarding the use
of blood and blood products and to quantify financial resources spent on these
items. This particular Hospital was chosen because of its significant expenditure
on the blood and blood products mainly for maternity patients.
AIM: To determine the extent of the use of blood and blood products in the
Maternity ward of the Boitumelo Regional Hospital and the factors that influenced
their uses.
METHODOLOGY: The study design was a cross-sectional study based on
retrospective review of routinely collected hospital data from hospital records of
patients for the period of 1 April 2009 to 31 March 2010. The setting of the study
was the maternity ward of Boitumelo Regional Hospital. Data was collected on
the following variables: types of blood and blood products transfused, profile of
patients transfused with blood and blood products, turn-around time and cost of
these products. Data from the hospital records was captured in the data
collection tools designed for the study and descriptive statistics was used to
report the findings. RESULT: This is probably the first study done at a regional hospital setting in
South Africa which looked at broad issues pertaining to the use of blood and
blood products in the Maternity ward of the Boitumelo Regional Hospital, and the
factors associated with these specified blood and blood products during one
study period. The study found 99 (4.2%) among these 2304 patients delivered
during this one year period received blood and blood products transfusion (13
units of whole blood, 250 units of red blood cells, 33 units of fresh frozen plasma
and 1 unit of platelet). Primiparity (32, 32.6%), pre-term labour (49, 49.5%),
booking status (unbooked 20, 20.4%) were found to be common among these
patients. A significant number of them (36, 36.4%) were anaemic based on their
booking haemoglobin but only a few of them were diagnosed and treated for
anaemia. Among the other antenatal diseases, Pregnancy Induced Hypertension
was commonest (27.3%) followed by Human Immunodeficiency Virus (15.2%).
The majority of the subjects who received transfusion had Normal Vaginal
Delivery signifying the need for active management of third stage. Only 5%
(36/776) of Caesarean Section patients received transfusion, which is much
lower than other studies. The median blood loss during delivery was 400 ml.
Seventeen (17.5%) patients were transfused before delivery and one (1%) was
transfused during delivery and 81 patients (81.5%) were transfused after
delivery. Eighteen of them (18.4%) were transfused for Antepartum
Haemorrhage and 81 (81.6%) of them were transfused for Postpartum
Haemorrhage. The median time interval between prescription and administration
was 160 min which is quite long and could be improved by reducing the interval
between prescription and ordering blood and interval between receipt and
administration. The total cost of transfusion during one year study period was R
329,579.27 (Whole blood: R7, 433.37, Red Blood Cell: R282, 192.50, Fresh
Frozen Plasma: R33, 411.37 and Platelet: R6, 542.03) and the average cost of
transfusion per patient was R3329.01.
CONCLUSION: The findings of this study will be reported to the Hospital
management for improving management of obstetrics patients. The researcher
also proposed further study among all the patients who received transfusion at all the regional hospitals in the Free State Province to compare the use of blood and
blood products in these institutions.
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Accuracy and precision of the Coulter "S" instrumentKovach, Ronald J. January 1981 (has links)
Thesis (M.S.)--Kutztown State College. / Source: Masters Abstracts International, Volume: 45-06, page: 3200. Typescript (Xerox copy). Includes bibliographical references (leaves 158-160).
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Isolated islets of Langerhans trigger an instant blood mediated inflammatory reaction : a finding with implications for intraportal islet transplantation /Bennet, William, January 1900 (has links)
Diss. (sammanfattning) Stockholm : Karol. inst. / Härtill 5 uppsatser.
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Bluttransfusionsmethoden in andern Ländern.Flindt, Maria-Luise, January 1939 (has links)
Inaug.-Diss.--Berlin.
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Hypercoagulability induced by compounds of mercury arsenic, bismuth and antimonyLarsen, Earl George. January 1944 (has links)
Thesis (M.S.)--University of Wisconsin--Madison, 1944. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 18-19).
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The effect of dicumarol (3,3'-methylenebis [4-hydroxycoumarin]) on platelet adhesivenessSpooner, Maryloo, January 1944 (has links)
Thesis (M.A.)--University of Wisconsin--Madison, 1944. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.
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An inaugural dissertation on the vitality of the bloodMartin, John, January 1802 (has links)
Thesis (M.D.)--University of Pennsylvania, 1802. / Microform version available in the Readex Early American Imprints series.
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An inaugural dissertation on the pathology of the human fluidsDyckman, Jacob, January 1814 (has links)
Thesis (M.D.)--College of Physicians and Surgeons of the State of New York, 1813. / Includes bibliographical references. Microform version available in the Readex Early American Imprints series.
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A new trapezoidal wave electromagnetic blood flowmeter and its application to the study of blood flow in the dogYanof, Howard M. January 1961 (has links)
Thesis (Ph. D. in Biophysics)--University of California, Berkeley, Jan. 1961. / Bibliography: l. 71-72.
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Ueber den Einfluss, welche verschiedene Salze auf die rothen Blutkorperchen ausüben ...Becker, Franz Josef, January 1884 (has links)
Inaug.-Diss.--Halle, 1884. / Vita.
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