Responses by Pregnant Jehovah's Witnesses on Health Care Proxies

  title={Responses by Pregnant Jehovah's Witnesses on Health Care Proxies},
  author={Cynthia Gyamfi and Richard L. Berkowitz},
  journal={Obstetrics \& Gynecology},
OBJECTIVE: To review the treatment options presented on the New York State Health Care Proxy for Jehovah's Witnesses, which is signed by pregnant women when they present for care. METHODS: Chart reviews were performed for all women who presented to labor and delivery at our institution from 1997 to 2002 and identified themselves as Jehovah's Witnesses. A patient was included in the study if a completed health care proxy was available in her chart. Data were derived from the health care proxy… 
Responses by pregnant Jehovah's Witnesses on health care proxies.
The review work by Gyamfi and Berkowitz, in which the majority of the pregnant women in the HealthCareProxy were willing to accept some forms of blood or blood products, concluded that the husband’s opinion should be considered for a pregnant woman under 20 years of age, as well as for those where there is parental disagreement.
Heterogeneity in Blood Product Acceptance Among Antenatal Patients of the Jehovah's Witness Faith
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.
Responses of advanced directives by Jehovah’s Witnesses on a gynecologic oncology service
The results confirm the commonly held belief that the majority of Jehovah’s Witness patients at a gynecologic oncology service will accept a variety of blood-derived products (minor fractions) and interventions designed to optimize outcomes when undergoing transfusion-free surgery.
Management of the Jehovah's Witness in Obstetrics and Gynecology: A Comprehensive Medical, Ethical, and Legal Approach
A learner should be better able to explain the oxygen delivery systems and response to tissue hypoxia mechanisms in humans, recognize options to correct anemia in Jehovah's Witness patients, recognize agents that are used in certain clinical scenarios in obstetrics and gynecology setting to reduce blood loss.
Ethical issues in the care of Jehovah's Witnesses
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  • Medicine
    Current opinion in anaesthesiology
  • 2014
The belief's of Jehovah's Witnesses regarding the use of blood and blood products are reviewed, and how to ensure that those patients professing to be Jehovah's Witness are treated ethically is reviewed.
Ethical Care of the Children of Jehovah’s Witnesses
This chapter examines the clinical case of an adolescent with a malignancy requiring surgery and, quite likely, a blood transfusion whose parents are some of Jehovah’s Witnesses (JW).
Transfusion support and alternatives for Jehovah's Witness patients.
Options and alternatives to manage the Jehovah's Witness patient in the perioperative setting or in the setting of critical anemia will be reviewed.
Is There Sufficient Evidence Justifying Limited Access of Jehovah's Witness Patients to Kidney Transplantation?
It is suggested that, when clinically indicated, blood transfusions can be safely avoided in the majority of JW kidney transplant, who achieve and maintain comparable hemoglobin concentrations during the first year after transplantation compared with non-JW patients.
Obstetric outcomes and acceptance of alternative therapies to blood transfusion by Jehovah’s Witnesses in Japan: a single-center study
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.


Ethical and Medicolegal Considerations in the Obstetric Care of a Jehovah's Witness
Management of the severely anemic patient who refuses transfusion: lessons learned during the care of a Jehovah's Witness.
The case of a Jehovah's Witness with severe anemia is presented and the religious philosophy of such patients, the ethical and medicolegal aspects of their care, and the therapeutic options available to clinicians are reviewed.
Preparation for an elective surgical procedure in a Jehovah's Witness: a review of the treatments and alternatives for anemia.
  • Gyamfi, Yasin
  • Medicine
    Primary care update for Ob/Gyns
  • 2000
Blood Transfusion in Contemporary Obstetric Practice
An analysis of 30,621 consecutive deliveries showed that previous abortion, bleeding during pregnancy, polyhydramnios, oligohydramnio, operative delivery, multiple pregnancy, abnormal placentation, and primary cesarean were each associated with unexpectedly high transfusion rates.
Are women who are Jehovah's Witnesses at risk of maternal death?