What is the transfusion management of a sickle cell patient during pregnancy?

Topics: Anemia • Hematology • Sickle Cell • Benign Hematology • Pregnancy

What are your target goals during transfusion, either prophylactically or during acute complication? Does your management change between vaginal delivery or cesarean section?

Answer from: at Community Practice

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...

Comments

at NHS
Yes, I agree with your advice. In the TAPS 2 trial...

at UT Southwestern Medical Center
Thank you for this very informative answer, and fo...

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