title: Blood cell salvage during cesarean delivery.
abstract: OBJECTIVE
  To review the use of blood cell salvage performed during cesarean delivery.
  
  
  METHODS
  A retrospective review of the case notes of 107 patients who underwent blood cell salvage during cesarean delivery. A total of 102 women at high risk of hemorrhage were prepared preoperatively for cell salvage. A second group of 5 patients had cell salvage initiated intraoperatively owing to unexpected severe hemorrhage.
  
  
  RESULTS
  Of the 107 patients, 36 (33.6%) were re-infused with salvaged blood. There were no reported incidents of amniotic embolization or hemolytic disease. Of the 31 patients for whom cell salvage was prepared preoperatively, only 6 patients required transfusion of banked blood. In elective procedures, patients were re-infused with salvaged blood averaging 28% of the volume of blood lost, without complications.
  
  
  CONCLUSIONS
  Cell salvage was acceptable, beneficial, and without adverse events in both high-risk elective cesareans and emergency cesareans for unexpected hemorrhaging. The skills refined during use of cell salvage in elective cesareans were crucial for successful implementation during emergency situations.
authors.affiliation: Hull York Medical School, North Yorkshire, UK.
authors.forename: Justine V
authors.initials: JV
authors.lastname: Sullivan
authors.forename: Maria E
authors.initials: ME
authors.lastname: Crouch
authors.forename: Gary
authors.initials: G
authors.lastname: Stocken
authors.forename: Stephen W
authors.initials: SW
authors.lastname: Lindow
mesh_terms: D016063:Blood Loss, Surgical; D001804:Blood Transfusion, Autologous / Q000706:statistics & numerical data*; D002585:Cesarean Section / Q000706:statistics & numerical data*; D004638:Emergency Treatment; D004739:England; D005260:Female; D006801:Humans; D008427:Maternal Health Services; D006473:Postpartum Hemorrhage / Q000628:therapy*; D011247:Pregnancy; D011256:Pregnancy Outcome; D011300:Preoperative Care; D012189:Retrospective Studies