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 |
Blood Transfusion, Obstetrics, Gynecology, Postpartum Hemorrhage, Anemia, Crossmatch-to-Transfusion Ratio, Patient Blood Management
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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
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
@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} }
TY - JOUR T1 - Blood Transfusion Practices in Obstetrics & Gynecology - A 3-Year Retrospective Study at Ibri Regional Hospital, Oman 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 Y1 - 2025/08/13 PY - 2025 N1 - https://doi.org/10.11648/j.jgo.20251304.12 DO - 10.11648/j.jgo.20251304.12 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 70 EP - 75 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20251304.12 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. VL - 13 IS - 4 ER -