Blood Transfusion Practices in the Gynecology-Obstetrics Department of the Ignace Deen University Hospital Center in Conakry in 2025

Context: The acquisition of blood products in Guinean hospitals is a problem in resolving gynecological and obstetric emergencies. The aim of this study was to evaluate blood transfusion practices in the Gynecology and Obstetrics department of the Ignace Deen University Hospital in Conakry in 2025. Patients and Methods: This was a descriptive, cross-sectional study conducted over a 6-month period, from July 1st to December 31st, 2025, in the Gynecology-Obstetrics Department of the Ignace Deen University Hospital Center in Conakry. The variables studied were: epidemiology, transfusion indications, labile blood products, transfusion incidents, and their severity, classified as grades 0, 1, 2, 3, and 4. SPSS 21.0 software was used for the analysis, and the data were presented as proportions, means, and standard deviations. Results: The transfusion rate of labile blood products was 5.89%, affecting all age groups with a mean age of 26 ± 6.24 years. Packed red blood cells (PRBCs) were the most frequently administered transfusion (77.90% of cases, 141/181), followed by combined PRBCs and fresh frozen plasma (FFP) (19.8%, 36/181). We reported 3 maternal deaths (1.65%), corresponding to a grade 4 incident. Conclusion: Blood transfusion often remains essential in a level III health facility; it allows for the resolution of serious obstetric complications related to hemorrhage.