Abstract

BALLON COSSIO, David  and  GARCIA DE LUNA OROZCO, María del Carmen. ACCESSIBILITY TO HEMOCOMPONENTS BASED ON ISOCRONAS FOR WOMEN WITH GYNECO-OBSTETRIC PATHOLOGIES. Rev. Méd. La Paz [online]. 2025, vol.31, n.1, pp.47-56.  Epub June 30, 2025. ISSN 1726-8958.

Maternal mortality due to hemorrhage is one of the first causes that require transfusions. Bolivia is one of the countries with the highest maternal mortality, with the cause of hemorrhage being one of the first to require improvements. Previously, due to the lack of regulations, múltiple services or mini blood banks were opened around the city of La Paz. This aspect changed, centralizing blood production at the level of the Hemocenter, which is located almost in the center of the city of La Paz, leaving the doubt whether this aspect limited the use of transfusions, both at the level of the public or private subsector in women with gynecological-obstetric pathology or if it is related to maternal mortality.

For this reason, a descriptive, observational, retrospective analytical study was carried out on blood components and their relationship with geographic access for blood supplied by the Hemocenter, analyzing data from 2009-2014.

The data show that improvement is required on transfusions at the Women’s Hospital (Hosp), thinking about the future, because the more births there are, the more need for transfusions there will be. Still, the Hosp. de La Mujer is in a good location to be able to receive referrals from other health levels. There were no important differences in the blood supply to private or public level II or III hospitals, recommending that there be monitoring of the changes implemented or if over time there are differences between access to the Hosp. of The Woman.

Keywords : isochrons; geographical accessibility; transfusions; blood bank.

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