Blood transfusions in Obstetrics GTG

Question 1

What are the cut offs for anaemia:
1st trimester

Answer 1

<110

Question 2

What are the cut offs for anaemia:
2nd/3rd Trimester

Answer 2

<105

Question 3

What are the cut offs for anaemia:
Post partum

Answer 3

<100

Question 4

If normocytica anaemia how to manage?

Answer 4

Oral iron and check in 2 weeks

Question 5

Screen for Hb in singleton and multiple pregnancy?

Answer 5

Singleton 28 weeks
Multiple 20-24 weeks

Question 6

What foods enhance/inhibit absorption of iron

Answer 6

Vit C enhances absorption

Tea/coffeee inhibits iron absorption

Question 7

What blood should be given to pregnant women?

Answer 7

ABO compatible
RhD-
K-
CMV seronegative

(during delivery/PP not required CMV negative)

Question 8

After how many RBCs should FFP be given? At what rate?

Answer 8

6 units
12-15ml/kg maintain PT and APTT <1.5% normal

Question 9

How long does it take for FFP to be thawed?

Answer 9

30mins

Question 10

How much cryoprecipitate should be given in MOH?

Answer 10

2 5-units pools, aiming fibrinogen >1.5

Question 11

When should platelets be given in MOH?

Answer 11

If < 75

Rh -ve women should get Rh _ve blood
If Rh+ve platelets given to Rh-ve patient, Anti-D required