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Blood Transfusion Practices in Obstetrics & Gynecology - A 3-Year Retrospective Study at Ibri Regional Hospital, Oman

Received: 14 July 2025     Accepted: 28 July 2025     Published: 13 August 2025
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Abstract

Blood transfusion is a critical intervention in obstetrics and gynecology, particularly for managing postpartum hemorrhage (PPH), abnormal uterine bleeding (AUB), and anemia. Optimizing transfusion practices is essential to minimize risks and improve resource utilization. To evaluate transfusion patterns, indications, and appropriateness in the Obstetrics and Gynecology Department at Ibri Regional Hospital, Oman, over a 3-year period. This retrospective observational study analyzed 422 transfusion cases (226 obstetric, 196 gynecologic) from January 2020 to December 2022. Data on patient demographics, transfusion indications, hemoglobin levels, blood component use, crossmatch-to-transfusion (C/T) ratio, and adverse reactions were extracted from medical and blood bank records. Descriptive statistics were performed using IBM SPSS Statistics. The results showed overall transfusion rate was 3.28%. Obstetric hemorrhage (66.8%), primarily PPH (80.1%), and anemia (33.1%) were the leading obstetric indications. In gynecology, Abnormal uterine bleeding (AUB) (48.5%) and early pregnancy complications (27.0%) predominated. The C/T ratio was 7.98, indicating inefficient blood utilization. Single-unit packed red blood cell (pRBC) transfusions were common (51.2%), and adverse reactions occurred in 0.94% of cases. Senior physicians made 96% of transfusion decisions, with informed consent documented in 60% of cases. While transfusion practices align with international standards, the high C/T ratio suggests a need for improved blood ordering protocols. Enhanced anemia management, patient blood management (PBM) strategies, and mandatory consent documentation are recommended to optimize transfusion practices.

Published in Journal of Gynecology and Obstetrics (Volume 13, Issue 4)
DOI 10.11648/j.jgo.20251304.12
Page(s) 70-75
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Blood Transfusion, Obstetrics, Gynecology, Postpartum Hemorrhage, Anemia, Crossmatch-to-Transfusion Ratio, Patient Blood Management

References
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Cite This Article
  • APA Style

    Yaqoubi, H. N. R. A., Waleem, N., Arora, N., Lazaro, M. C., Joaquin, M. G. P., et al. (2025). Blood Transfusion Practices in Obstetrics & Gynecology - A 3-Year Retrospective Study at Ibri Regional Hospital, Oman. Journal of Gynecology and Obstetrics, 13(4), 70-75. https://doi.org/10.11648/j.jgo.20251304.12

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    ACS Style

    Yaqoubi, H. N. R. A.; Waleem, N.; Arora, N.; Lazaro, M. C.; Joaquin, M. G. P., et al. Blood Transfusion Practices in Obstetrics & Gynecology - A 3-Year Retrospective Study at Ibri Regional Hospital, Oman. J. Gynecol. Obstet. 2025, 13(4), 70-75. doi: 10.11648/j.jgo.20251304.12

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    AMA Style

    Yaqoubi HNRA, Waleem N, Arora N, Lazaro MC, Joaquin MGP, et al. Blood Transfusion Practices in Obstetrics & Gynecology - A 3-Year Retrospective Study at Ibri Regional Hospital, Oman. J Gynecol Obstet. 2025;13(4):70-75. doi: 10.11648/j.jgo.20251304.12

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  • @article{10.11648/j.jgo.20251304.12,
      author = {Houda Nasser Rashid Al Yaqoubi and Noureen Waleem and Neeru Arora and Mariden Catley Lazaro and Mary Grace Pascua Joaquin and Badriya Ali Al Alawi and Vinod Arora and Said Al Sawafi and Farah Khan and Hira Saleem},
      title = {Blood Transfusion Practices in Obstetrics & Gynecology - A 3-Year Retrospective Study at Ibri Regional Hospital, Oman
    },
      journal = {Journal of Gynecology and Obstetrics},
      volume = {13},
      number = {4},
      pages = {70-75},
      doi = {10.11648/j.jgo.20251304.12},
      url = {https://doi.org/10.11648/j.jgo.20251304.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20251304.12},
      abstract = {Blood transfusion is a critical intervention in obstetrics and gynecology, particularly for managing postpartum hemorrhage (PPH), abnormal uterine bleeding (AUB), and anemia. Optimizing transfusion practices is essential to minimize risks and improve resource utilization. To evaluate transfusion patterns, indications, and appropriateness in the Obstetrics and Gynecology Department at Ibri Regional Hospital, Oman, over a 3-year period. This retrospective observational study analyzed 422 transfusion cases (226 obstetric, 196 gynecologic) from January 2020 to December 2022. Data on patient demographics, transfusion indications, hemoglobin levels, blood component use, crossmatch-to-transfusion (C/T) ratio, and adverse reactions were extracted from medical and blood bank records. Descriptive statistics were performed using IBM SPSS Statistics. The results showed overall transfusion rate was 3.28%. Obstetric hemorrhage (66.8%), primarily PPH (80.1%), and anemia (33.1%) were the leading obstetric indications. In gynecology, Abnormal uterine bleeding (AUB) (48.5%) and early pregnancy complications (27.0%) predominated. The C/T ratio was 7.98, indicating inefficient blood utilization. Single-unit packed red blood cell (pRBC) transfusions were common (51.2%), and adverse reactions occurred in 0.94% of cases. Senior physicians made 96% of transfusion decisions, with informed consent documented in 60% of cases. While transfusion practices align with international standards, the high C/T ratio suggests a need for improved blood ordering protocols. Enhanced anemia management, patient blood management (PBM) strategies, and mandatory consent documentation are recommended to optimize transfusion practices.},
     year = {2025}
    }
    

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    AU  - Houda Nasser Rashid Al Yaqoubi
    AU  - Noureen Waleem
    AU  - Neeru Arora
    AU  - Mariden Catley Lazaro
    AU  - Mary Grace Pascua Joaquin
    AU  - Badriya Ali Al Alawi
    AU  - Vinod Arora
    AU  - Said Al Sawafi
    AU  - Farah Khan
    AU  - Hira Saleem
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    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
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    PB  - Science Publishing Group
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    AB  - Blood transfusion is a critical intervention in obstetrics and gynecology, particularly for managing postpartum hemorrhage (PPH), abnormal uterine bleeding (AUB), and anemia. Optimizing transfusion practices is essential to minimize risks and improve resource utilization. To evaluate transfusion patterns, indications, and appropriateness in the Obstetrics and Gynecology Department at Ibri Regional Hospital, Oman, over a 3-year period. This retrospective observational study analyzed 422 transfusion cases (226 obstetric, 196 gynecologic) from January 2020 to December 2022. Data on patient demographics, transfusion indications, hemoglobin levels, blood component use, crossmatch-to-transfusion (C/T) ratio, and adverse reactions were extracted from medical and blood bank records. Descriptive statistics were performed using IBM SPSS Statistics. The results showed overall transfusion rate was 3.28%. Obstetric hemorrhage (66.8%), primarily PPH (80.1%), and anemia (33.1%) were the leading obstetric indications. In gynecology, Abnormal uterine bleeding (AUB) (48.5%) and early pregnancy complications (27.0%) predominated. The C/T ratio was 7.98, indicating inefficient blood utilization. Single-unit packed red blood cell (pRBC) transfusions were common (51.2%), and adverse reactions occurred in 0.94% of cases. Senior physicians made 96% of transfusion decisions, with informed consent documented in 60% of cases. While transfusion practices align with international standards, the high C/T ratio suggests a need for improved blood ordering protocols. Enhanced anemia management, patient blood management (PBM) strategies, and mandatory consent documentation are recommended to optimize transfusion practices.
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