Obstetric conditions are associated with the need for blood transfusion which may lead to morbidity and mortality if not managed correctly. The aim of this guideline is to offer guidance about the appropriate use of blood products that neither compromises the affected woman nor exposes her to unnecessary risk. Blood transfusion may be a life-saving procedure but it is not without risk. Recipients may rarely develop a transfusion-transmitted infection as well as suffer immunological sequelae such as red cell alloimmunization. This RCOG guideline was developed in accordance with standard methodology.

Reduce blood transfusion chances : Anaemia should be treated. If the hemoglobin level is < 10.5 g/dl in the antenatal period, consider haematinic deficiency once hemoglobinopathies have been excluded. Oral iron should be preferred as first-line treatment. Parenteral iron is indicated when the…