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

By:

Massiah, N

Contributor(s):

Publication details: 2007Uniform titles:

Archives of Gynecology and Obstetrics

Online resources:

Summary: 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) was not significantly less from the mean predelivery haemoglobin level (11.81 ± 1.62 g/dl) (P > 0.05, paired t test). The single maternal death occurred after caesarean hysterectomy, which when extrapolated, resulted in a 65-fold increased risk of maternal death compared to the national rate. The optimum management of pregnant women who decline transfusion is discussed

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Item type	Home library	Collection	Class number	Status	Date due	Barcode
UNKNOWN	Ferriman information and Library Service (North Middlesex) Online	Staff publications for NMDX		Available

NMUH Staff Publications

276

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 &gt;1,000&nbsp;mls occurred in 6% and postpartum anaemia was the commonest complication. The mean postdelivery haemoglobin (11.10&nbsp;±&nbsp;1.15&nbsp;g/dl) was not significantly less from the mean predelivery haemoglobin level (11.81&nbsp;±&nbsp;1.62&nbsp;g/dl) (P&nbsp;&gt;&nbsp;0.05, paired&nbsp;t&nbsp;test). The single maternal death occurred after caesarean hysterectomy, which when extrapolated, resulted in a 65-fold increased risk of maternal death compared to the national rate. The optimum management of pregnant women who decline transfusion is discussed

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