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In India, as per Ministry of Health, the blood donation interval criteria for apheresis requires at least 48 hours interval after platelet- or plasma-apheresis. Any donation should not be done more than two times a week and should be limited to 24 times in one year. [4] [5]
In people with a low platelet count, prophylactic platelet transfusions do not need to be given prior to procedures that have a low risk of causing bleeding. [10] [13] [9] Low-risk procedures include surgical sites that do not contain many blood vessels e.g. cataract surgery, [13] or minor procedures.
Platelets are often life-saving and special in that they can help up to 3 adults or even 12 children. As platelets can only be stored for a few days, regular and frequent donors are in great demand and that is why platelet donors are asked to attend at least 8 to 10 times per year.
Single unit transfusion can be as part of an institutional or national guidelines [3] and instituted with the help of a transfusion committee or transfusion practitioner. Education of medical staff is important and catch phrases such as "Why use two when one will do", "every ONE matters" or "one bag is best - then reassess" have been used. [3]
Globally around 85 million units of red blood cells are transfused in a given year. [4] The global demand is much higher and there is an unmet need for safe blood for transfusion in many low- and middle-income countries. [75]
Bone marrow failure in both children and adults can be either inherited or acquired. Inherited bone marrow failure is often the cause in young children, while older children and adults may acquire the disease later in life. [3] Acquired bone marrow failure may be due to aplastic anemia [4] or myelodysplastic syndrome.
Five hours later, Rodriguez ended up having an emergency C-section. "Vida came out beautifully, as big as any baby could have been at that age," she remembers. The infant spent six days in the NICU.
Indications for treatment of pregnant people with ITP include the presence of bleeding, platelet counts less than 20-30,000, planned procedures (such as an amniocentesis), and raising platelet levels prior to delivery (the minimum platelet level for a vaginal delivery is 30,000 and for a cesarean section is 50,000). [63]