8 May 2025 (Thursday) - Peri-Natal Complications

One of the reasons that I don’t like being seconded to our sister laboratory is that their hospital has a maternity unit. And when pregnant ladies need the blood bank it can be quite scary for all concerned.
Here’s a little article from Blood Bytes and Beyond about managing peripartum complications in the blood bank.
 
The take-home messages are
 
·       Anticipate haemorrhagic risk in patients with placenta accreta spectrum, previa, abruption, or uterine rupture
·       Tailor MTP for obstetrics: early cryoprecipitate and TXA are critical
·       Differentiate causes of thrombocytopenia: preeclampsia/HELLP vs. TTP vs. aHUS dictates treatment
·       Monitor for DIC in any critically ill pregnant patient
·       Provide close antibody monitoring: alloantibodies may impact future pregnancies
 
I’ve not long signed up to Blood Bytes and Beyond. So far, so good…

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