Obstetric care of Jehovah’s Witnesses: a 14-year observational study

@article{Massiah2007ObstetricCO,
  title={Obstetric care of Jehovah’s Witnesses: a 14-year observational study},
  author={Nadine Massiah and Shobana Athimulam and Chin Loo and Stanley Okolo and Wai Yoong},
  journal={Archives of Gynecology and Obstetrics},
  year={2007},
  volume={276},
  pages={339-343}
}
Over a 14-year period, the obstetric outcome of Jehovah’s Witnesses in an inner city hospital was reviewed and the effect of refusal of blood on morbidity and mortality evaluated. Ninety women had 116 deliveries and of these, 24% were delivered by caesarean section, 10% had instrumental deliveries and 66% were normal vaginal deliveries. Postpartum haemorrhage of >1,000 mls occurred in 6% and postpartum anaemia was the commonest complication. The mean postdelivery haemoglobin (11.10 ± 1.15 g/dl… 
View on Springer
ncbi.nlm.nih.gov
32 Citations
Background Citations
3

Figures from this paper

32 Citations

Citation Type

Citation Type

Preferences of Jehovah's Witnesses regarding haematological supports in an obstetric setting: experience of a single university teaching hospital.
Refusal of blood transfusion by Jehovah's Witness women: a survey of current management in obstetric and gynaecological practice in the U.K.
TLDR
A small but substantial proportion of consultants do not have protocols, operate on JW women with low Hb concentrations, do not use a lower Hb concentration threshold for supplementation, and do not adopt a multi-disciplinary approach, all of which could contribute to the reported poor outcomes in these women.
Peripartum hysterectomy in the UK: management and outcomes of the associated haemorrhage
TLDR
A group of obstetric women who are at an increased risk of peripartum hysterectomy as a result of haemorrhage are highlighted: women who decline blood transfusion during pregnancy for religious, personal or safety reasons and the concept of ‘bloodless’ surgery is likely to gain popularity and become common practice for all women.
Heterogeneity in Blood Product Acceptance Among Antenatal Patients of the Jehovah's Witness Faith
TLDR
In the antenatal period, Jehovah's Witness women have variable attitudes toward receipt of blood products, and a discussion with each patient is essential to understand whether and which blood products may be used when indicated.
Obstetric outcomes and acceptance of alternative therapies to blood transfusion by Jehovah’s Witnesses in Japan: a single-center study
TLDR
To treat JW patients in a safer manner, understanding their individual acceptance of alternatives to blood transfusion is important for the strategic use of such alternatives.
Maternal mortality and serious maternal morbidity in Jehovah’s witnesses in the Netherlands
TLDR
It is thought that Palacios-Jaraquemada and Fiorillo are describing an intervention with high risk of complications that might have a place in the management of placenta percreta, but that would seem to be unjustified and unnecessarily aggressive for the Management of Placenta accreta.
Caring for pregnant women for whom transfusion is not an option. A national review to assist in patient care
TLDR
The importance of a multidisciplinary antenatal and perinatal management plan, including optimisation of haemoglobin and iron stores pre‐delivery, blood loss minimisation, early haemorrhage control and postpartum anaemia treatment, is discussed.
Balloon tamponade for postpartum vaginal lacerations in a woman refusing blood transfusion
  • W. Yoong, A. Ray, S. Phillip
  • Medicine, Biology
    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
  • 2009
Peripartum hysterectomy in the UK: management and outcomes of the associated haemorrhage
TLDR
For each woman who dies in the UK following peripartum hysterectomy, more than 150 survive and the associated haemorrhage is managed in a variety of ways and not universally according to existing guidelines.
Successful Resuscitation Following Massive Obstetric Hemorrhage in a Patient of the Jehovah's Witness Faith: A Case Report.
TLDR
The resuscitation of a parturient Jehovah's Witness whose postcesarean delivery course was complicated by massive hemorrhage from unrecognized arterial bleeding in the intensive care unit with significant hemodynamic instability that necessitated an emergency bedside laparotomy is described.
...
1
2
3
4
...

References

SHOWING 1-10 OF 12 REFERENCES
Successful reduction of massive postpartum haemorrhage by use of guidelines and staff education
TLDR
There was a significant reduction in the incidence of massive postpartum haemorrhage to 0.45%, and 100% adherence to the guidelines which resulted in a significant reduce in maternal morbidity.
Obstetric hysterectomy: changing trends over 20 years in a multiethnic high risk population
TLDR
There is a statistically significant threefold increase in the prevalence of emergency postpartum hysterectomies between 1994 and 2003 as compared to the previous 10 years between 1983 and 1993 despite the introduction of new pharmacological agents and conservative surgical techniques.
Report on confidential enquiries into maternal deaths in the United Kingdom 1991-1993
Aims, objectives and method of enquiry definitions of maternal mortality and summary of deaths subject to enquiry trends in reproductive epidemiology and maternal mortality hypertensive disorders of…
Major gynecologic and obstetric surgery in Jehovah's Witnesses.
TLDR
There is evidence that major operative procedures can be carried out on Jehovah's Witness patients without blood transfusions or blood products, and medicolegal implications of performing major surgery withoutBlood transfusions are discussed.
Major Gynecologic and Obstetric Surgery in Jehovah's Witnesses
TLDR
There is evidence that major operative procedures can be carried out on Jehovah's Witness patients without blood transfusions or blood products, a retrospective study of 165 Jehovah's Witnesses and 164 control patients suggests.
Report on conWdential enquiries into maternal deaths. Why mothers die 2000–02
  • 2004
Are women who are Jehovah's Witnesses at risk of maternal death?
Report on con W dential enquiries into maternal deaths
  • 2004
Report on con W dential enquiry into maternal death
  • 2001
Report on conWdential enquiry into maternal death. Why mothers die 1997–99
  • 2001
...
1
2
...