Stratagies to minimize blood transfusion in preterm neonates
- Introduction...
- 1. The best way to...
- 2. Delayed cord cl...
- 3. Benefits of del...
- 4. Minimizing bloo...
- 5. Early iron supp...
- 6. Strategies to m...
- 7. Summary of stra...
Introduction
Dr. C. APARNA
MD, DM (Neonatology)
Consultant Neonatologist
Ankura Hospital for Women and Children
Kukatpally, Hyderabad
1. The best way to treat anemia is to prevent it!
The best way to treat anemia is to prevent it!
2. Delayed cord clamping
*Delay cord clamping by atleast 60 seconds in ALL neonates who do not require resuscitation at birth
3. Benefits of delayed cord clamping
► Decrease transfusions for anemia
► Decrease risk of intraventricular hemorrhage
► Decrease risk of necrotizing enterocolitis
► No increase in maternal and neonatal morbidities
► No increase in jaundice requiring treatment
4. Minimizing blood sampling losses
1. Do a blood investigation only when necessary
2. “Cluster” blood sampling
3. Collect minimum required volume
4. Standard policy for frequency of blood sampling
5. Early iron supplementation in preterm neonates
► How much?
♦ 2-4 mg/kg/day enteral as prophylaxis
► How early?
♦ 2 weeks postnatal age
► Clinical benefit
♦ To reduce the incidence of iron deficiency anemia in
early infancy
6. Strategies to minimize need for blood transfusions in neonates
► Effective phototherapy
► Using standard guidelines for blood component transfusions
7. Summary of strategies to minimize blood transfusions in preterm neonates
► Delayed cord clamping
► Minimizing blood sampling losses
► Early iron supplementation
► Effective phototherapy
► Standard/ uniform transfusion policy