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Table 3 Transfusion and haematological results for postpartum haemorrhage

From: Reduction in massive postpartum haemorrhage and red blood cell transfusion during a national quality improvement project, Obstetric Bleeding Strategy for Wales, OBS Cymru: an observational study

 

Jan-Jun 2017

Jul-Dec 2017

Jan-Jun 2018

Jul-Dec 2018

Transfusion of red blood cells and blood components

 Number of women transfused red blood cells: n (/1000 maternities)

350 (23.0)

270 (16.9)

278 (18.8)

268 (17.7)

 Total number of units of red blood cells transfused: n (/1000 maternities)

823 (54.1)

656 (41.0)

636 (43.1)

609 (40.2)

 Number of women transfused ≥5 units red blood cells: n (/1000 maternities)

16 (1.1)

14 (0.9)

14 (1.0)

11 (0.7)

 Number of women transfused FFP: n (/1000 maternities)

26 (1.7)

20 (1.3)

21 (1.4)

15 (1.0)

 Total number of units of FFP transfused: n (/1000 maternities)

87 (5.7)

78 (4.9)

74 (5.0)

37 (2.4)

 Number of women transfused fibrinogen: n (/1000 maternities)

22 (1.5)

19 (1.2)

17 (1.2)

30 (2.0)

 Total number of grams of fibrinogen transfused: n (/1000 maternities)

94 (6.2)

103 (6.4)

89 (6.0)

137 (9.0)

 Number of women transfused cryoprecipitate: n (/1000 maternities)

6 (0.4)

3 (0.2)

2 (0.1)

5 (0.3)

 Total number of units of cryoprecipitate transfused: n (/1000 maternities)

14 (0.9)

8 (0.5)

4 (0.3)

9 (0.6)

 Number of women transfused platelets: n (/1000 maternities)

12 (0.79)

8 (0.50)

6 (0.41)

7 (0.46)

 Total number of units of platelets transfused: n (/1000 maternities)

20 (1.3)

13 (0.8)

10 (0.7)

9 (0.6)

Haematological results

 Lowest Clauss fibrinogen results: Med (IQR), range

4.2 (3.4–5), 0.3–9.2

4.1 (3.4–4.8), 0.5–8.1

4.2 (3.5–4.7), 0.3–8

4.2 (3.5–4.8), 0.3–9.8

 Number with lowest fibrinogen ≤2 g/L n/reported results (% of reported results)

24/383 (6.3)

18/399 (4.5)

17/435 (3.9)

22/459 (4.8)

 Longest PT results: Med (IQR), range

10.7 (10.3–11.3), 9.2–22.4

10.6 (10.3–11.1), 9.1–80

10.4 (10.1–10.9), 8.3–18.4

10.4 (10–10.9), 9–19.5

 Number with longest PT > 16 s n/reported results (% of reported results)

5/384 (1.3)

5/388 (1.3)

5/434 (1.2)

4/458 (0.9)

 Longest aPTT results: Med (IQR), range

25.9 (24.1–27.6), 20–84

25.6 (23.9–27.5), 19.5–143

25.1 (23.7–27.2), 19.3–105

24.9 (23.5–26.8), 18.7–42.5

 Number with longest aPPT > 50 s n/reported results (% of reported results)

4/384 (1.0)

3/388 (0.8)

2/435 (0.5)

0/458 (0.0)

 Lowest Fibtem A5 results: Med (IQR), range

21 (18–25), 4–49

21 (17–24), 2–63

22 (19–25), 2–55

18 (16–21), 0–60

 Number with lowest Fibtem A5 < 12 mm n/reported results (% of reported results)

14/205 (6.8)

26/344 (7.6)

23/378 (6.1)

30/369 (8.1)

 Longest Extem CT results: Med (IQR), range

57 (52–62), 17–120

57 (52–63), 38–147

56 (52–61), 30–300

55 (51–61), 11–481

 Number with longest Extem CT > 75 s n/reported results (% of reported results)

8/205 (3.9)

15/344 (4.4)

19/378 (5.0)

9/369 (2.4)

 Lowest haemoglobin results: Med (IQR), range

91(71–100), 46–135

89 (80–100), 54–139

88 (78–98), 47–137

88 (79–100), 52–137

 Number with lowest haemoglobin < 80 g/L n/reported results (% of reported results)

55/203 (27.1)

99/327 (30.3)

82/353 (23.2)

55/306 (18.0)