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The Present Condition of Autologous Blood Transfusion in Cases of Placenta

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					The Present Condition of Autologous Blood Transfusion in
                           Cases of Placenta Previa

     Takeshi ND?>G>* ,Yasuo M6@>CD*, Takeshi K6L6@6B>*, Yasuko M6IHJD@6*,
    Takashi M>N6@6L6*, Machi KJ7DI6*, Hirotsugu O76B6*, Hideki KD76N6H=>*,
  Tsuyoshi K6C6D@6*, Akira IID**, Keiko N>7J** and Tatsuhiko K6L6G676N6H=>*


 Department of Obstetrics and Gynecology* and Blood Transfusion Survice**, School of Medicine,
       Fukuoka University ./ +, 1 chome, Nanakuma, Jonan ku, Fukuoka 2+. *+2*, Japan


Abstract : In this retrospective study, the efficacy and the safety of autologous blood
transfusion for pregnant women with placenta previa were investigated.
    From January +, +33- to March +, +333, twenty pregnant women with placenta
previa underwent phlebotomies according to our autologous transfusion program.
Regarding the amount of collected blood, we collected an average of 1*/4* ,./43 ml
 ,** +5*** ml . The vital signs and fetal heart monitoring were examined immedi-
ately after the procedure and no adverse reactions were noted. All patients under-
went a cesarean delivery and the average gestational age was -/4. -4- ,3 -2
weeks of gestaion. The mean birth weight was ,5.*-4. 0./4/ g and the Apgar
score was 240 +4, . 3 at + minute. The mean total blood loss at cesarean sec-
tion, which contained amniotic fluid, was +5,/+42 20240 g -** -5+.* g . The mean
volume of autologous transfusion was /-/4* ,/34. ml +** +5*** ml . Nineteen of
,* patients underwent either intrapartum or postpartum blood transfusion while + of
,* did not require it.
    In conclusion, autologous blood transfusion for the mother and the fetus in the
case of placenta previa was therefore suggested to be a safe and an effect means of
treating such cases.

Key words : Placenta previa, autologous donation

				
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Description: The Present Condition of Autologous Blood Transfusion in Cases of Placenta