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- Title
The Jehovah's Witness obstetric patient - a literature review.
- Authors
Rajewska, Aleksandra; Mikołajek-Bedner, Wioletta; Sokołowska, Małgorzata; Lebdowicz, Joanna; Kwiatkowski, Sebastian; Torbé, Andrzej
- Abstract
The patient's right to refuse blood transfusion must be honoured in case of its clear expression. Some special pharmacologic and/or surgical procedures can be useful in a Jehovah Witness (JW) parturient. In case of excess blood loss the maintenance of peripheral tissue oxygenation is crucial. Only a few hospitals have equipment for blood salvage, and alternative oxygen carriers have potentially lethal side effects. Findings suggest that obstetric facilities should develop special algorithms of management in the case of the JW obstetric patient, with written declaration of which elements of blood are not acceptable for the patient, early diagnosis and intensive treatment of anaemia in pregnancy, administration of antifibrinolytic agents before surgery, use of electric surgical tools to restore haemostasis, early detection and aggressive treatment of excessive blood loss and, last but not least, close cooperation between obstetricians and anaesthesiologists, including sharing the information about the patient's refusal of blood transfusion.
- Subjects
BLOOD transfusion; CHRISTIANITY; LABOR (Obstetrics); OBSTETRICS; PATIENTS; PATIENTS' rights; PATIENT refusal of treatment; OPERATIVE blood salvage
- Publication
Anaesthesiology Intensive Therapy / Anestezjologia, Intensywna Terapia, 2019, Vol 51, Issue 5, p390
- ISSN
1642-5758
- Publication type
Article
- DOI
10.5114/ait.2019.90991