The Acceptable Haemoglobins Drop after Uncomplicated Caesarean Sections
Khreisat B.M. Donayeva A. Jaafar Z.A.A. Shaimbetov Z. Abdelazim I.A. Sarkulova Z. Sarkulov M. Omarova A.
1 February 2024Sciendo
Journal of Mother and Child
2024#28Issue 1129 - 135 pp.
Background: Routine haemoglobin assay is a common postoperative (PO) practice after caesarean sections (CSs). There is no consensus regarding the acceptable haemoglobins (Hbs) drop after uncomplicated CSs. Objective: To detect the acceptable Hbs drop after uncomplicated caesarean sections (CSs). Material and Methods: Seventy-five (75) participants delivered by uncomplicated elective CSs (ECSs) were recruited for the current study. Participants pre-operative Hb was compared to PO-Hbs using t-test to detect the acceptable Hbs drop after uncomplicated ECSs. Correlations between the 48-hrs. PO-Hbs drop or 1-week PO-Hbs drop and estimated blood loss (EBL) during uncomplicated ECSs was detected using Pearsons correlation. Results: Mean duration of uncomplicated ECS was 43.3 ± 1.7 min. and mean EBL during uncomplicated ECSs was 654.4 ± 54.49 ml. No significant difference was detected in this study when 48-hrs. PO-Hb (10.89 ± 0.43 gms%) or 1-week PO-Hb (10.86 ± 0.46 gms%) were compared to the participants pre-operative Hb (12.2 ± 0.46 gms%), (p=0.3 and 0.5, respectively). Mean 48-hrs. and 1-week PO-Hbs drop after uncomplicated ECSs were 1.28 ± 0.09 and 1.3 ± 0.07 gms%, respectively. The correlation between 48-hrs. PO-Hbs drop and EBL during uncomplicated ECSs was not significant (r=-0.14; p=0.23). The correlation between 1-week PO-Hbs drop and EBL during uncomplicated ECSs was also not significant (r=0.017; p=0.89). Conclusions: Mean 48-hrs. and 1-week PO-Hbs drop after uncomplicated ECSs were 1.28 ± 0.09 and 1.3 ± 0.07 gms%, respectively. Correlations between either the 48-hrs. PO-Hbs drop or 1-week PO-Hbs drop and EBL during uncomplicated ECSs were not significant.
Cesarean Sections , Drop , Hemoglobin , Uncomplicated
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Department of Obstetrics and Gynecology, King Hussain Medical Center, Royal Medical Services, Amman, Jordan
Department of Normal Physiology, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
Department of Obstetrics and Gynecology, College of Medicine, Al-Mustansiriya University, Baghdad, Iraq
Pavlodar Region Branch of the Social Health Insurance Fund, Pavlodar, Kazakhstan
Department of Obstetrics and Gynecology, Ain Shams University, Cairo, Egypt
Department of Anesthesiology & Reanimatology, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
Departments of Urology and Andrology, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
Department of Obstetrics and Gynecology
Department of Normal Physiology
Department of Obstetrics and Gynecology
Pavlodar Region Branch of the Social Health Insurance Fund
Department of Obstetrics and Gynecology
Department of Anesthesiology & Reanimatology
Departments of Urology and Andrology
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