RISK FACTORS FOR CAESAREAN SECTIONS RELATED BLOOD TRANSFUSIONS IN A TERTIARY CARE HOSPITAL OF PESHAWAR

Objective: The aim of this study was to evaluate risk factors for Blood transfusions in patients who had Caesarean deliveries in the Gynae department of Khyber Teaching Hospital, Peshawar. Materials and Methods: This retrospective cross-sectional research was conducted at the Gynae department of Khyber teaching hospital, Peshawar from 1st June 2022 to 31st December 2022. The consecutive non probability sampling approach was utilized; however all women who underwent CS were eligible to participate. Results: During the course of the study, 2850 births took place, of which 689 required a caesarean section and 97 required blood transfusions. The rate of cesarean sections was 25%, while the incidence of blood transfusions was 14%.The patients' mean age was 30.43+1.21 years, and the most prevalent age group was 31-40 years (8%).41% of the patients underwent elective LSCS while 404 (58.6%) had emergency LSCS. In terms of the kind of cesarean birth, transfusion was required in 3% and 11% of patients who underwent elective and emergency LSCS, respectively. Only 52 (7.5%) of the approximately 96 (14%) patients with Packed cell volume less than 26% prior to surgery received transfusions. Blood transfusion status was substantially correlated (p<0.05) with age, type of cesarean birth, and preoperative PCV, according to the results of the chi-square analysis. Conclusion: Age, cesarean type, and preoperative PCV were shown to be significantly linked with blood transfusion. Understanding the risk factors for prenatal hemorrhage and making arrangements for bleeding are essential for managing obstetric hemorrhage properly.