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    Before blood transfusion in a postpartum hemorrhage (PPH) patient, which test must always be done to prevent hemolytic reaction?
    Question

    Before blood transfusion in a postpartum hemorrhage (PPH) patient, which test must always be done to prevent hemolytic reaction?

    A.

    Hemoglobin estimation

    B.

    Coagulation profile

    C.

    Cross-matching of donor and recipient blood

    D.

    Indirect Coombs test

    Correct option is C

    For safe transfusion, cross-matching is mandatory to prevent acute hemolytic transfusion reaction.
    Explanation of options: (a) ✘ Hb helps assess need but not prevent transfusion reaction. (b) ✘ Coagulation profile important in DIC, not transfusion safety. (c) ✔ Correct; cross-match ensures compatibility. (d) ✘ Coombs test detects antibodies, but cross-match is primary safety test.

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