{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:36:01Z","timestamp":1747182961479,"version":"3.40.5"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,7,31]],"date-time":"2020-07-31T00:00:00Z","timestamp":1596153600000},"content-version":"am","delay-in-days":366,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#am"},{"start":{"date-parts":[[2019,7,31]],"date-time":"2019-07-31T00:00:00Z","timestamp":1564531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000923","name":"Australian Research Council","doi-asserted-by":"publisher","award":["120100069"],"award-info":[{"award-number":["120100069"]}],"id":[{"id":"10.13039\/501100000923","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1094822"],"award-info":[{"award-number":["1094822"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>O Rh(D)\u2212 red blood cell (<jats:styled-content style=\"fixed-case\">RBC<\/jats:styled-content>) units can generally be transfused to most patients regardless of their <jats:styled-content style=\"fixed-case\">ABO<\/jats:styled-content> blood type and are frequently used during emergency situations. Detailed usage patterns of O Rh(D)\u2212 <jats:styled-content style=\"fixed-case\">RBC<\/jats:styled-content> units in obstetric populations have not been well characterised. With the introduction of patient blood management guidelines, historical usage patterns are important for providing comparative data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To determine how the use of O Rh(D)\u2212 <jats:styled-content style=\"fixed-case\">RBC<\/jats:styled-content> units in pregnant women differs between hospitals of different sizes and obstetric capabilities prior to patient blood management guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from 67 New South Wales public hospital blood banks were linked with hospital and perinatal databases to identify <jats:styled-content style=\"fixed-case\">RBC<\/jats:styled-content> transfusions during pregnancy, birth and postnatally between July 2006 and December 2010. <jats:styled-content style=\"fixed-case\">RBC<\/jats:styled-content> transfusions were divided into O Rh(D)\u2212 or other blood types. Hospitals were classified according to birth volume, obstetric capability and location, with transfusions classified by timing and diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 12\u00a0078 <jats:styled-content style=\"fixed-case\">RBC<\/jats:styled-content> units transfused into pregnant women, 1062 (8.8%) were O Rh(D)\u2212. Higher use of O Rh(D)\u2212 <jats:styled-content style=\"fixed-case\">RBC<\/jats:styled-content> units was seen in antenatal transfusions, preterm deliveries and in regional or smaller hospitals. There was wide variation in rates of O Rh(D)\u2212 <jats:styled-content style=\"fixed-case\">RBC<\/jats:styled-content> transfusion among hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The rate of O Rh(D)\u2212 <jats:styled-content style=\"fixed-case\">RBC<\/jats:styled-content> unit use in obstetrics was lower during the period assessed than the nationally reported usage. It is encouraging that O Rh(D)\u2212 <jats:styled-content style=\"fixed-case\">RBC<\/jats:styled-content>s were more commonly used in emergency or specialised situations, or in facilities where holding a large blood inventory is not feasible.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13043","type":"journal-article","created":{"date-parts":[[2019,8,1]],"date-time":"2019-08-01T00:58:40Z","timestamp":1564621120000},"page":"498-503","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of group O Rh(D)\u2212 red blood cell use in pregnant women across hospitals of various sizes and obstetric capabilities prior to the introduction of patient blood management guidelines"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9888-9818","authenticated-orcid":false,"given":"Jillian A.","family":"Patterson","sequence":"first","affiliation":[{"name":"Clinical and Population Perinatal Health Research The University of Sydney Northern Clinical School Sydney New South Wales Australia"},{"name":"Northern Sydney Local Health District Kolling Institute Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rena","family":"Hirani","sequence":"additional","affiliation":[{"name":"Research and Development Australian Red Cross Blood Service Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David O.","family":"Irving","sequence":"additional","affiliation":[{"name":"Research and Development Australian Red Cross Blood Service Sydney New South Wales Australia"},{"name":"University of Technology Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael C.","family":"Nicholl","sequence":"additional","affiliation":[{"name":"University of Sydney Sydney New South Wales Australia"},{"name":"Maternal Neonatal and Women's Health Network Northern Sydney Local Health District Sydney New South Wales Australia"},{"name":"Department of Obstetrics and Gynaecology Royal North Shore Hospital Northern Sydney Local Health District Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane B.","family":"Ford","sequence":"additional","affiliation":[{"name":"Clinical and Population Perinatal Health Research The University of Sydney Northern Clinical School Sydney New South Wales Australia"},{"name":"Northern Sydney Local Health District Kolling Institute Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"For the Obstetric Transfusion Steering Committee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,7,31]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.14012"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/tme.12102"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.14255"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/tme.12310"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12492"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000054"},{"key":"e_1_2_6_8_1","unstructured":"The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.Management of Postpartum Haemorrhage (PPH): The Royal Australian and New Zealand College of Obstetricians and Gynaecologists 2016."},{"volume-title":"Patient Blood Management Guidelines: Module 5 \u2010 Obstetrics and Maternity","year":"2015","author":"National Blood Authority","key":"e_1_2_6_9_1"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2009.01042.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002359"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12177"},{"key":"e_1_2_6_13_1","unstructured":"PattersonJA FordJB.Linkage of four administrative datasets to examine blood transfusion in pregnancy Sydney eScholarship Repository: University of Sydney 2015. 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