Résumé

Introduction : All pregnant women are at risk of experiencing obstetric complications, which more often than not necessitate blood transfusions. Hemorrhages occurring during pregnancy, childbirth, and the postpartum period are the leading cause of maternal death worldwide. The objective of this study was to evaluate the role of blood transfusion in the management of obstetric emergencies in the health districts of Bamako, Koulikoro, and Ségou. Methodology: This was a multicenter, cross-sectional, descriptive, and analytical prospective study conducted from January 1, 2017, to December 31, 2019. We performed exhaustive sampling of all blood transfusion cases during the pregnancy and postpartum period, regardless of the outcome. The data were analyzed using SPSS software (version 20). Results: We collected 647 cases of blood transfusions out of a total of 3,971 obstetric emergencies, representing a prevalence of 16.30%. The average age was 28 years. Our sample consisted primarily of uneducated, multiparous women who were housewives, domestic workers, or engaged in unpaid work and were being evacuated. Obstetric hemorrhages and iron deficiency anemia were the indications for transfusion in 74.23% and 17% of cases, respectively. In one-third of cases, the blood demand was not fully met (30%). Eighteen (18) cases, or 2.8%, of maternal deaths were recorded. Conclusion: The continuous availability of blood products improves maternal prognosis.

Mot-clés :

Transfusion, Emergency, Obstetrics