When Every Second Counts: Emergency Blood Transfusion Protocol for Fetal/Neonatal Hemorrhage
Article first published online: 2 JUN 2011
© 2011 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Special Issue: Proceedings of the 2011 AWHONN Convention
Volume 40, Issue Supplement s1, page S132, June 2011
How to Cite
Scheans, P. and McElwain, L. (2011), When Every Second Counts: Emergency Blood Transfusion Protocol for Fetal/Neonatal Hemorrhage. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 40: S132. doi: 10.1111/j.1552-6909.2011.01244_17.x
- Issue published online: 2 JUN 2011
- Article first published online: 2 JUN 2011
- neonatal resuscitation program
The need for volume resuscitation during neonatal resuscitation is an infrequent occurrence that has recently undergone examination. Volume replacement in the face of hemorrhage or suspected blood loss remains a viable course of action. Anemia can be worsened by large infusions of saline, which dilutes oxygen carrying capacity and leads to tissue hypoxia.
Baby Y was born by Cesarean for fetal indication at 37.5 weeks gestation. He was exceedingly pale and shocky appearing at birth. He was volume resuscitated with saline, eventually received blood but arrested at 1 hour of age.
Delay in recognition of blood loss and timely administration of blood could be avoided by developing a protocol for early release of emergency uncross-matched O-negative blood.