Preferences of Jehovah’s Witnesses regarding haematological supports in an obstetric setting: experience of a single university teaching hospital

Husarova, Viera; Donnelly, G.; Doolan, Anne; Garstka, Meghan; Áinle, Fionnuala Ní; McCaul, Conán

doi:10.1016/j.ijoa.2015.09.005

Cited by 9 publications

(10 citation statements)

References 17 publications

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“…We need preoperative multidisciplinary consultation about the treatment of each Jehovah’s Witness patient because their acceptance of blood products varies widely and consultation may alter decision-making 18. The present case was a Jehovah’s Witnesses who refused blood transfusions, but agreed to ANH and IBS.…”

Section: Discussionmentioning

confidence: 88%

Successful treatment of total placenta previa by multidisciplinary therapy in a Jehovah’s Witness patient who refused blood transfusions

Tachi

Yoneda

et al. 2018

BMJ Case Reports

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A 35-year-old Jehovah’s Witness patient with total placenta previa was referred to our hospital at 30 weeks of gestation. She refused autologous and allogeneic blood transfusions, but agreed to receive acute normovolaemic haemodilution, intraoperative blood salvage and biological products. At 35 weeks, she underwent emergent caesarean delivery because of labour pains. Multidisciplinary therapy, including the insertion of balloon catheters into the bilateral common iliac arteries, acute normovolaemic haemodilution and intraoperative blood salvage, avoided hysterectomy; however, blood loss included amniotic fluid which was estimated to be 1910 mL. These treatments may be effective for total placenta previa in blood-refusal patients.

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Section: Discussionmentioning

confidence: 88%

Successful treatment of total placenta previa by multidisciplinary therapy in a Jehovah’s Witness patient who refused blood transfusions

Tachi

Yoneda

et al. 2018

BMJ Case Reports

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“…Kidson-Gerber and Gyamfi recommend asking the pregnant woman about unacceptable methods of treatment as soon as the first ambulatory visit, and documenting the answer [1]. They advise consulting such patients in presence of the head of the department and, finally, giving them an authorised document or a magnetic card confirming refusal of blood transfusion; this makes patient identification much easier in ambulatory and hospital care setting [3,5].…”

Section: Prenatal Care: Information Flow Aspectmentioning

confidence: 99%

“…Husarova et al accentuate the opportunity to educate patients through explanation of benefits and risks of different methods of obstetric complications treatment [1]. Kidson-Gerber and Gyamfi recommend warning the patient about the risks of obstetric haemorrhage and letting them know that the risk of death or severe complications is much higher in case of "alternative" no-blood treatment [3,5].…”

Section: Prenatal Care: Information Flow Aspectmentioning

confidence: 99%

“…Husarova and other authors accentuate the usefulness of multidisciplinary standards of management in JW patients in pregnancy, labour and puerperium, developed across the fields of gynaecology and obstetrics, haematology, anaesthesiology and, if necessary, interventional radiology [1,3,5].…”

Section: Prenatal Care: Strategies and Standardsmentioning

confidence: 99%

“…A publication known as Advanced Directives, distributed among JW, contains detailed information on the subject (Figure 2). It may also be very useful as an official declaration of acceptable methods of treatment presented to medical professionals [1,2,7,11]. Husarova et al confirmed that the acceptance of blood products differs among pregnant JW women: while 32.8% of the study group declared not to take any component of blood despite circumstances, 7.9% agreed to use every blood product indicated.…”

mentioning

confidence: 97%

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The Jehovah’s Witness obstetric patient – a literature review

Rajewska¹,

Mikołajek-Bedner²,

Sokołowska³

et al. 2019

ait

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To this day, haemorrhage, complicating up to 5% of labours, is one of the most common obstetric causes of morbidity and mortality in women [1]. Due to the speed of its development, peripartum haemorrhage can, in a very short time, lead to life-threatening hypovolaemic shock [2, 3]. Excessive blood loss requires comprehensive treatment to maintain peripheral tissue oxygenation, adequate volume of the intravascular compartment and coagulation [1]. In such circumstances there is an indication to transfuse red blood, plasma and platelets. Currently no other equally effective treatment is known. Jehovah's Witness (JW) women are in a high obstetric risk group. British data indicate that in the UK the risk of death related to obstetric complications is 65 times higher in this group than in the general population; in the USA such risk is estimated at 44 times higher [1-5]. Russo et al., describing a case of a JW pregnant multipara after two caesarean sections with placenta praevia invading her urine bladder, found the risk of death to be 130-fold higher than in a patient who would accept blood transfusion [6]. It is estimated that every year 1000 JW die because of blood refusal [4].

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Obstetric outcomes in Jehovah’s Witnesses: case series over nine years in a London teaching hospital

Berg

Dave

et al. 2023

Arch Gynecol Obstet

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Preferences of Jehovah’s Witnesses regarding haematological supports in an obstetric setting: experience of a single university teaching hospital

Cited by 9 publications

References 17 publications

Successful treatment of total placenta previa by multidisciplinary therapy in a Jehovah’s Witness patient who refused blood transfusions

Successful treatment of total placenta previa by multidisciplinary therapy in a Jehovah’s Witness patient who refused blood transfusions

The Jehovah’s Witness obstetric patient – a literature review

Obstetric outcomes in Jehovah’s Witnesses: case series over nine years in a London teaching hospital

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