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…
No comments:
Post a Comment