Autologous blood transfusion for ruptured ectopic pregnancy

Autotransfusion for ruptured ectopic pregnancy

OBJECTIVES

Clinical outcomes following the exclusive use of autotransfusion in the management of ruptured ectopic pregnancy are reviewed.

METHODS

A MEDLINE search (1966-2002) for relevant articles documenting the exclusive use of autotransfusion, and data collection and analysis was made.

RESULTS

There were 21 studies, 16 from developing and five from developed countries, involving 632 cases of ruptured ectopic pregnancies. Hypovolemic shock with significant hemoperitoneum (>500 ml) was the most common complication. The procedure was performed completely manually in developing countries and with the help of a device in developed countries. The mean volume of autotransfused blood was over 1000 ml, with mean hemoglobin levels ranging from 6 to 12.5 g/dl. Mean posttransfusion hemoglobin levels were higher than pretransfusion levels. There was one death, thought to be due to pulmonary embolism, and nine major and minor complications.

CONCLUSIONS

Autotransfusion is useful in the management of ruptured ectopic pregnancy.