Professor Mahmuda Hassan Ad-din Womens Medical College Hospital Abdul - - PowerPoint PPT Presentation

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May 03, 2023 234 likes •401 views

Professor Mahmuda Hassan Ad-din Womens Medical College Hospital Abdul Mannan, 2 Marium Begum, 3 NasimJahan 4 , SM Zabrul Kona Choudhury, 6 Hamidur Rahman 7 . Haque, 5 Sick neonates are one of the most heavily transfused groups of patients

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Professor Mahmuda Hassan Ad-din Women’s Medical College Hospital

Abdul Mannan,2 Marium Begum, 3 NasimJahan4, SM Zabrul Haque, 5 Kona Choudhury,6 Hamidur Rahman7.

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 Sick neonates are one of the most heavily

transfused groups of patients in modern medicine.

 Apart from whole blood, blood components

like packed red blood cell (PRBC), platelet or fresh frozen plasma are used.

 Albumin Hypoalbunimaemia - peripheral

edema,

 IVIG- platelet counts below 30,000/l.  alloimmune and autoimmune neonatal

thrombocytopenia

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 To find out the types of transfusion in

neonatal intensive care unit among the sick neonates.

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 Neonates who required blood or blood

product between 1st Jan 2013 to 31stMarch 2014 were included for the study.

 The study was carried out at the neonatal

intensive care Unit (NICU) at Ad- Women’s Medical college Hospital.

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.

 Inclusio

lusion n Criter eria ia

 Booked pregnancy with

good documentation.

 Inborn and out-born.  Admitted for the first

time in NICU .

 Exclusion

usion Criter eria ia

 Congenital

malformations.

 Death & referred cases

to other hospital or referred from other NICU.

 Congenital TORCHS

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,

 Total 743 neonates

were admitted during the study period, 86 neonates (10.9%)

 Inborn 65(75.58%)  out born

21(24.41%).

 NVD 39 (44.44%)  LUCS 47( 55.55%)

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 Their age of admission were from 0 days to

28 days

 Their weight ranged between 0.864kg to

3.83 kg with a mean weight of 1.64 kg.

 Gestational age of the neonates ranged from

26 weeks to 41 weeks .Mean GA 35+4weeks.

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63 14 5 4 10 20 30 40 50 60 70 0-7days 7-14 days 14-21 days 21-28 days number of meonates

age of admission

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26% 44.18% 30.12% 5 10 15 20 25 30 35 40 <34wks <37wks >37wks

Gesta tati tion

nal age in weeks

ks 22 38 26

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PRBC FFP platelets Albumin IVIG Series1 40 64 44 23 9 Series2 46.51% 74.41% 51.16% 26.73% 11% 10 20 30 40 50 60 70 % of neonates

Types of Tx

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FFP+ PRBC +Alb+ PLT FFP + PRBC+ PLT FFP+ PRBC + Alb FFP + PLT+ Alb. FFP + PRBC FFP+ Alb. FFP+PLT PLT PRBC FFP Whole blood Series1 7 11 3 7 9 6 10 7 10 11 5 Series2 8.10% 12.79% 3.48% 8.10% 10.46% 6.90% 11.62% 8.13% 11.62% 12.79% 5.80% 2 4 6 8 10 12

No. of Neona

nates

Type of Tx

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 Multiple blood product transfusions are

common among hospitalized neonates.

 Fresh frozen plasma transfusion was highest

than that of the platelets.

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