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Comparative Study
The value of routine haemoglobin concentration measurement before caesarean section.
- A Vashisht and S Yentis.
- Department of Obstetrics and Gynaecology, Chelsea and Westminster Hospital, London SW10 9NH, UK. arvindvash@hotmail.com
- J Obstet Gynaecol. 2005 Feb 1; 25 (2): 131-3.
AbstractWomen undergoing caesarean section routinely have a haemoglobin concentration check before delivery. We compared the haemoglobin concentration of 311 women taken at their 32-?34 week antenatal visit with their preoperative level. A significant rise from 11.04 g/dL to 11.51 g/dL was seen (mean (95% CI) 0.47 (0.37-0.57 g/dL)). This increase was most marked in the 201 women having emergency procedures, and there was a significant negative correlation between the 32 and 34 weeks level and the net change in haemoglobin concentration (r=-0.366 (P<0.001)). From our results we suggest that in women with an otherwise uncomplicated pregnancy, and a satisfactory haemoglobin concentration at 32-34 weeks, a repeat estimation of the blood count is unnecessary before operative delivery.
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