Effects of Implementation of Blood Transfusion Criteria on Rate of Transfusion in Infants with Caput Succedaneum
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Abstract
Background: Caput succedaneum is a common birth injury and may co-exist with subgaleal hemorrhage which lead to shock and death. However, inappropriate blood transfusions in infants with caput succedaneum occur since there are no clear blood transfusion criteria.
Objective: To identify the rate of blood transfusions before and after implementing the blood transfusion criteria in infants with caput succedaneum and complications such as shock or death due to delayed transfusion.
Methods: A before and after quasi experimental study was performed. Data including sex, gestational age, delivery method, Apgar score, birth weight, head circumference, hematocrit, blood transfusions and shock or death due to delayed transfusion were reviewed and collected from infants with caput succedaneum in neonatal intensive care unit and ICD-10 code in medical records. Data before commencement of transfusion criteria were recorded during October 1, 2011 to September 30, 2012 and data after commencement of transfusion criteria were recorded during October 1, 2012 to September 30, 2013.
Results: Implementation of transfusion criteria significantly reduced blood transfusion in infants with caput succedaneum from 19.8% of 404 infants to 5.1% of 391 infants (OR 0.218; 95%CI 0.131-0.364; p=0.00). Shock or death due to delayed transfusion were not found.
Conclusion: Blood transfusion criteria significantly decreases the rate of blood transfusions in infants with caput succedaneum.
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References
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