Risk factors for massive transfusion in obstetrical hemorrhage and consideration of a whole blood program.
John C MyersMaxwell A BravermanAngelo V CiaragliaRahaf AlkhatebLauran BarryZachary BrookeJeffrey ChangHanzhang WangRafael ElenesByron HepburnKayla IrelandRachelle JonasJeremy NelsonSantiago PedrazaJun SongSusannah NicholsonBrian EastridgeRonald StewartLeslie GreebonElly XenakisDonald JenkinsPublished in: Transfusion (2023)
Patients over 35 years and those with abnormal placentation are at increased risk of requiring MT. With a time to delivery of 2 days, potential MT patients can be identified early, and with a 94% rate of RhD-positive+, they are eligible to receive low-titer O whole blood (LTOWB) providing hemostatic resuscitation with reduced donor exposure.