What is the transfusion management of a sickle cell patient during pregnancy?
What are your target goals during transfusion, either prophylactically or during acute complication? Does your management change between vaginal delivery or cesarean section?
1 Answer
Mednet Member
Hematology · New York Blood Center
Answered on · Updated on
Prophylaxis: There is an ongoing trial in transfusion management in pregnancy, comparing prophylactic red cell exchange to a target HbS or SC < 30% compared to transfusion only when clinically indicated. Interestingly, it does not specify a Hct target. Until that trial is done, I would follow the AS...
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