Blood transfusion is indicated in following conditions associated with sickle cell anemia:: (A) Frequent sickling episodes, (B) Twin pregnancy, (C) Poor obstetrical outcome, (D) All of the above
Answer is D. Ans. is d, i.e. All of the aboveRef. Fernando Arias 4/e, p 238Prophylactic blood transfusions are not routinely advocated in all pregnant females with sickle cell anemia.Indications:1. Frequent severe sickling episodes.2. Low hematocrit levels.3. Twin pregnancy.4. Poor past obstetrical history.Target: HbS levels becomes <20%.