Archives of Gynecology and Obstetrics

, Volume 276, Issue 4, pp 339–343

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

Authors

  • Nadine Massiah
    • Department of Obstetric and GynaecologyStirling Royal Infirmary, Fourth Valley Hospitals
  • Shobana Athimulam
    • Royal Free and University College Medical School
  • Chin Loo
    • Department of Obstetric and GynaecologyNorth Middlesex University Hospital
  • Stanley Okolo
    • Department of Obstetric and GynaecologyNorth Middlesex University Hospital
    • Department of Obstetric and GynaecologyNorth Middlesex University Hospital
Original Article

DOI: 10.1007/s00404-007-0346-0

Cite this article as:
Massiah, N., Athimulam, S., Loo, C. et al. Arch Gynecol Obstet (2007) 276: 339. doi:10.1007/s00404-007-0346-0

Abstract

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) (> 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.

Keywords

Jehovah’s WitnessesObstetric haemorrhageMaternal mortality

Copyright information

© Springer-Verlag 2007