Blood Transfusion in Obstetrics

Question 1

Initial management of normocytic/ microcytic anaemia?

Answer 1

PO iron and recheck 2/52

Question 2

When should you screen for anaemia?

Answer 2

Booking and 28/40

20-24/40 in twins

Question 3

When should IV iron be offered?

Answer 3

Po not tolerated/ absorbed

Poor compliance

Question 4

Dose FFP?

Answer 4

12-15mg/kg every 6 units RBCs

Question 5

What is aim with FFP?

Answer 5

Maintain pt and APTT rations <1.5x normal

Question 6

Cryoprecipitate dose

Answer 6

2 x 5 unit pools

Question 7

What is aim with cryo?

Answer 7

Keep fibrinogen >1.5g/L

Question 8

No rh-ve women need anti d after rh +ve cryo/ ffp?

Answer 8

No- they do for plts

Question 9

Target platelets in bleeding patient?

Answer 9

> 50

Question 10

At what point should plt tx start in bleeding patient?

Answer 10

Plts 75

Question 11

How much anti d if rh incompatible platelets given?

Answer 11

250IU immediately

Question 12

Last resort life threatening pph?

Answer 12

Recombiant factor VIIa

Question 13

Transfusion trigger post partum?

Answer 13

Hb <70- individual basis