Analyzes of Hemorrhagic Obstetric Patients Whose Were Used Fibrinogen

Treatment of Obstetric Hemorrhage With Fibrinogen and Blood Products: Retrospective Analyzes

The files of hemorrhagic obstetric patients undergoing surgery and followed in the intensive care unit and using Fibrinogen and blood products were included in the study between January 2015- September 2018 at the Anesthesiology and Reanimation Clinic of SBU Kanuni Sultan Süleyman Training and Research Hospital. Patients under 18 years of age were excluded from the study. In this study, ages, operation types, number of blood and products, the amount of fibrinogen, the results of the hemogram and bleeding parameters, the levels of fibrinogen, the duration of hospital stay and the intensive care unit were recorded.

Bleeding is an important event that threatens the patient's life. Too much blood and blood products can be used in massive bleeding. However, unwanted allergic reactions may occur in blood and blood product transfusions. Fibrinogen is the first coagulation factor in coagulopathy. Some studies have shown that when the fibrinogen level falls to <150-200 mg / dl, the bleeding increases dramatically.

Inclusion Criteria:

• Obstetric patients, underwent surgery and followed in ICU
• Used Fibrinogen and Blood products
• Over 18 years age

Exclusion Criteria:

• Under 18 years age
• Obstetric patients, underwent surgery but not used Fibrinogen and Blood products