ABSTRACT
Autotransfusion was used in 38 patients with ruptured ectopic pregnancy. There was no mortality in this series. Transfusion-related morbidity occurred in six patients; two developed clinical coagulopathy; two, pulmonary edema; and two had minor transfusion reactions to concomitantly used banked blood. The procedure is safe and efficient and represents less risk to the patient than does the use of banked blood. The savings of the large amount of banked blood is certainly in keeping with a more salutary use of this valuable resource.
Subject(s)
Blood Transfusion, Autologous , Pregnancy, Ectopic/surgery , Blood Transfusion, Autologous/adverse effects , Female , Humans , Intraoperative Period , Pregnancy , Rupture, SpontaneousABSTRACT
A program of trial labor by patients who had previously undergone one low cervical transverse cesarean section is described. Experience with 526 such patients shows that 49% delivered vaginally, doing so with slightly less morbidity and a shorter hospital stay than 108 similar patients not given a trial labor. Perinatal mortality and morbidity were unaffected by trial or route of delivery. Uterine rupture was encountered three times in the trial group and once in the nontrial patients but at no time resulted in a serious threat to the mother or child. Fertility was retained in 2 of the 4 patients. A significant increase in maternal morbidity was noted among patients whose trial labor resulted in a repeat cesarean section.
