Manejo de hemocomponentes entre médicos obstetras e residentes em obstetrícia

Abstract

Introduction: Improving knowledge about transfusion medicine has popularized hemotherapy in several segments. Although safe and effective, blood transfusion is not risk free and may not be the best option in some cases, either by patient's willingness or by the physician's safety. Objectives: This study aimed to evaluate the knowledge of physicians working in obstetrics regarding important aspects involved in the management of blood components such as transfusion risks, parameters used to indicate their use, application of techniques to optimize this management and attitude to the ethical aspects involved in this therapy. Methods: This is a descriptive, observational, cross-sectional study conducted in two hospitals in Aracaju between January and February 2019. Data were collected through the application of questionnaires to obstetricians and residents in obstetrics of the two institutions. Results: 53 professionals were interviewed, of whom 79.2% had already indicated blood transfusion in pregnant women. About 79% of participants said they had never studied alternative treatments, but slightly more than half (60.4%) claimed to use some behavior to reduce transfusions. Most of the interviewees (86.8%) reported that they used the hemoglobin level of up to 7mg / dl as an indication of transfusion. There was a relationship between the belief in risks related to transfusion therapy and the completion of medical residency. Conclusion: Most interviewees were in their 40s and had completed their residency 15 years ago. Doctors with a larger age group reported that they would not attend courses aimed at improving the use of blood components and would transfuse patients against their will. There was a significant association between the belief in the existence of risks associated with transfusions and the termination of medical residency.