Postpartum Blood Requirements and Autologous Donation

Stefan Semchyshyn, MD
JAMA. 1988;260(11):1556. doi:10.1001/jama.1988.03410110064027.
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To the Editor.—  I read with interest the comments by Dr Simon1 regarding postpartum blood requirements and autologous donation programs. While it is true that expense and logistic considerations are important, Dr Simon further notes that only a few of the autologous donors needed blood. In my experience, most directed blood donations are not needed by those for whom they were donated.Autologous donation programs and directed blood donation programs would help increase blood availability and alleviate the severe shortages experienced today. Also, because clean "altruistic volunteer donors" are becoming less common and the fear of contracting a deadly disease (hepatitis and acquired immunodeficiency syndrome) is real, such programs may bring the additional benefit of alleviating fears.Obstetricians and gynecologists are in an excellent position to encourage such practices because of the long-term, ongoing relationship that we enjoy with our patients and the predictability of the time and need


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