Is Menstruation a Valid Reason to Postpone Cardiac Surgery?

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dc.contributor.authorDas, Devishreeen_US
dc.contributor.authorHasija, Suruchien_US
dc.contributor.authorChauhan, Sandeepen_US
dc.contributor.authorDevagourou, Velayoudamen_US
dc.contributor.authorSharma, Aparna Ken_US
dc.contributor.authorKhan, Maroof Ahmaden_US
dc.date.accessioned2023-07-14T08:00:26Z
dc.date.available2023-07-14T08:00:26Z
dc.date.issued2022-09
dc.description.abstractBackground:Cancellation of any scheduled surgery is a significant drain on health resources and potentially stressful for patients. It is frequent in menstruating women who are scheduled to undergo open heart surgery (OHS), based on the widespread belief that it increases surgical and menstrual blood loss. Aims: The aim of this study was to evaluate blood loss in women undergoing OHS during menstruation. Settings and Design: A prospective,matched case?control study which included sixty women of reproductive age group undergoing OHS. Patients and Methods: The surgical blood loss was compared between women who weremenstruating (group?M;n = 25) and their matched controls, i.e., women who were not menstruating (group?NM; n = 25) at the time of OHS. Of the women in group M, the menstrual blood loss during preoperative (subgroup?P) and perioperative period (subgroup?PO) was compared to determine the effect of OHS onmenstrual blood loss. Results: The surgical blood loss was comparable among women in both groups irrespective of ongoing menstruation (gr?M = 245.6 ± 120.1 ml vs gr?NM = 243.6 ± 129.9 ml, P value = 0.83). The menstrual blood loss was comparable between preoperative and perioperative period in terms of total menstrual blood loss (gr?P = 36.8 ± 4.8 ml vs gr?PO = 37.7 ± 5.0 ml, P value = 0.08) and duration of menstruation (gr?P = 4.2 ± 0.6 days vs gr?PO = 4.4 ± 0.6 days, P value = 0.10). Conclusion: Neither the surgical blood loss nor the menstrual blood loss is increased in women undergoing OHS during menstruation.en_US
dc.identifier.affiliationsDepartments of Cardiac Anaesthesia and Critical Care, Cardiothoracic Centreen_US
dc.identifier.affiliationsCardiothoracic and Vascular Surgery, Cardiothoracic Centrzen_US
dc.identifier.affiliationsObstetrics and Gynaecology anden_US
dc.identifier.affiliationsBiostatistics, AIIMS, New Delhi, Indiaen_US
dc.identifier.citationDas Devishree, Hasija Suruchi, Chauhan Sandeep, Devagourou Velayoudam, Sharma Aparna K, Khan Maroof Ahmad. Is Menstruation a Valid Reason to Postpone Cardiac Surgery?. Annals of Cardiac Anaesthesia. 2022 Sep; 25(3): 311-317en_US
dc.identifier.issn0974-5181
dc.identifier.issn0971-9784
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/219229
dc.languageenen_US
dc.publisherWolters Kluwer - Medknowen_US
dc.relation.issuenumber3en_US
dc.relation.volume25en_US
dc.source.urihttps://doi.org/10.4103/aca.aca_83_21en_US
dc.subjectCardiac surgeryen_US
dc.subjectcardiopulmonary bypassen_US
dc.subjectmenstruationen_US
dc.subjectmenstrual blood lossen_US
dc.subjectsurgical blood lossen_US
dc.titleIs Menstruation a Valid Reason to Postpone Cardiac Surgery?en_US
dc.typeJournal Articleen_US
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