Risk factors for blood transfusion in singleton pregnancy deliveries in Taiwan
- 20 February 2012
- journal article
- Published by Wiley in International Journal of Gynecology & Obstetrics
- Vol. 117 (2), 124-127
- https://doi.org/10.1016/j.ijgo.2011.11.028
Abstract
To investigate risk factors for blood transfusion in pregnancy. In a population-based study, data from all women with singleton pregnancies (n=225 304) admitted for delivery in Taiwanese hospitals in 2002 were obtained from the National Health Insurance claims database. To identify risk factors for blood transfusion, a logistic regression model with generalized estimating equation was used to calculate the adjusted odds ratio (OR) and 95% confidence intervals (CI) for characteristics of the pregnant women, hospitals, clinics, and obstetricians. The incidence of blood transfusion was 1.43%. Cesarean delivery, vaginal birth after cesarean (VBAC), and repeat cesarean delivery had higher rates of blood transfusion than vaginal delivery, with an OR of 7.2 (95% CI, 6.38-8.02), 4.2 (95% CI, 2.52-6.87), and 5.9 (95% CI, 5.06-6.80), respectively. Other risk factors included extremes of age; pregnancies complicated by prepartum hemorrhage, placenta previa, pre-eclampsia, eclampsia, anemia, or systemic lupus erythematosus; and obstetricians with low or mid-to-low numbers of deliveries. The study has identified risk factors for blood transfusion in pregnancy on the basis of a nationwide database and provides useful information for obstetric practice. For women with a history of cesarean delivery, vaginal delivery might be considered owing to its lower incidence of transfusion.Keywords
This publication has 15 references indexed in Scilit:
- Peripartum hysterectomy in TaiwanInternational Journal of Gynecology & Obstetrics, 2008
- Mean Maternal Second-Trimester Hemoglobin Concentration and Outcome of Pregnancy: A Population-Based StudyClinical and Applied Thrombosis/hemostasis, 2008
- Maternal mortality and severe morbidity associated with low-risk planned cesarean delivery versus planned vaginal delivery at termCMAJ : Canadian Medical Association Journal, 2007
- Maternal Morbidity Associated With Cesarean Delivery Without Labor Compared With Induction of Labor at TermObstetrics & Gynecology, 2006
- Outcome of Pregnancy in Patients with Systemic Lupus ErythematosusTaiwanese Journal of Obstetrics & Gynecology, 2006
- Maternal and Perinatal Outcomes Associated with a Trial of Labor after Prior Cesarean DeliveryNew England Journal of Medicine, 2004
- Relative Risk of Postpartum Complications in the Ohio Medicaid Population: Vaginal Versus Cesarean DeliveryMedical Care Research and Review, 2004
- Effectiveness of primary level antenatal care in decreasing anemia at term in TanzaniaActa Obstetricia et Gynecologica Scandinavica, 1999
- Comparison of a Trial of Labor with an Elective Second Cesarean SectionNew England Journal of Medicine, 1996
- Labour following caesarean section: current practice in the United KingdomBJOG: An International Journal of Obstetrics and Gynaecology, 1994