Obstetrics

Use of cell salvage in obstetrics in Germany: analysis of national database of 305 610 cases with peripartum haemorrhage

Neef, V., Friedrichson, B., Jasny, T., Old, O., Raimann, F., Choorapoikayil, S., Steinbicker, A., Meybohm, P., Zacharowski, K., Kloka, J.

One of the leading causes of maternal death worldwide is severe obstetric haemorrhage after childbirth. Use of intraoperative cell salvage is strongly recommended by international guidelines on patient blood management. Recent data provide strong evidence that use of cell salvage in obstetrics is effective and safe in women with postpartum haemorrhage resulting in fewer transfusion-related adverse events and shorter hospital stay. We retrospectively analysed the use of cell salvage in bleeding women during delivery for a period of 10 yr in German hospitals.

Neef V, Friedrichson B, Jasny T, Old O, Raimann F, Choorapoikayil S, Steinbicker A, Meybohm P, Zacharowski K, Kloka J. Use of cell salvage in obstetrics in Germany: analysis of national database of 305,610 cases with peripartum haemorrhage. British Journal of Anaesthesia. [Epub ahead of print]. 2023 Sep 15. doi: 10.1016/j.bja.2023.12.014. PMID: 37847205 ¹.

Anaemia, Red Blood Cell Transfusion and Administration of Blood Products in Obstetrics: A Nationwide Analysis of More Than 6 Million Cases from 2011-2020

Kloka J., Friedrichson B., Jasny T., Old O., Piekarski F., Zacharowski K., Neef V.

This study focuses on the prevalence and impact of anaemia in obstetrics, analysing data from over 6 million pregnant women who delivered in hospitals between 2011 and 2020. The research found that 1.23% of these women received red blood cell transfusions during pregnancy, which was associated with higher rates of anaemia during pregnancy, postpartum haemorrhage, and longer hospital stays. These findings underscore the importance of Patient Blood Management in reducing the need for transfusions and potentially decreasing maternal morbidity and mortality.

Kloka JA, Friedrichson B, Jasny T, Old O, Piekarski F, Zacharowski K, Neef V. Anemia, red blood cell transfusion and administration of blood products in obstetrics: a nationwide analysis of more than 6 million cases from 2011-2020. Blood Transfus. 2023 Sep 15. doi: 10.2450/BloodTransfus.528. Epub ahead of print. PMID: 37847205 ¹.