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ERCS (repeat CS)

Blood transfusion
a. Maternal mortality
b. Transient respi morbidity
c. HIE
d. None of the above

1 Answer

1 vote

Final answer:

ERCS-related blood transfusion can lead to severe outcomes including maternal mortality, transient respiratory morbidity, and HIE. Ensuring proper blood matching and utilizing hemovigilance systems are crucial to prevent hemolytic transfusion reactions and hemolytic disease of the newborn.

Step-by-step explanation:

Implications of Blood Transfusion Reactions

The question appears to concern the outcomes associated with ERCS (Elective Repeat Cesarean Section) and blood transfusion-related complications. If we examine the effects of blood transfusions and related maternal and fetal complications, we can identify several potential outcomes, including maternal mortality, transient respiratory morbidity, and Hypoxic-ischemic encephalopathy (HIE). In cases where an incompatible blood transfusion occurs, patients can experience a hemolytic transfusion reaction (HTR), a condition caused by a type II hypersensitivity reaction that may lead to destruction of red blood cells, shock, multi-organ failure, and death. Furthermore, during pregnancy, cases of hemolytic disease of the newborn (HDN) can occur, where maternal anti-Rh antibodies cross the placenta and target fetal Rh+ red blood cells for destruction, a serious and preventable condition.

Maintaining an adequate and safe blood supply is imperative to avoid these severe outcomes. Hospitals and medical centers use hemovigilance systems to minimize the risks of HTRs, particularly ones due to clerical error. This is crucial in high-risk procedures such as ERCS, where the likelihood of blood transfusion is higher.

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