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

被引：24

作者：

Massiah N. ^{[1
]}

Athimulam S. ^{[2
]}

Loo C. ^{[3
]}

Okolo S. ^{[3
]}

Yoong W. ^{[3
]}

机构：

[1] Department of Obstetric and Gynaecology, Stirling Royal Infirmary, Fourth Valley Hospitals, Stirling FK8 2AU, Livilands Gate

[2] Royal Free and University College Medical School, London NW3 2QG, Pond Street

[3] Department of Obstetric and Gynaecology, North Middlesex University Hospital, London N18 1QX, Sterling Way

来源：

Archives of Gynecology and Obstetrics | 2007年 / 276卷 / 4期

关键词：

Jehovah's Witnesses; Maternal mortality; Obstetric haemorrhage;

D O I：

10.1007/s00404-007-0346-0

中图分类号：

学科分类号：

摘要：

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. © 2007 Springer-Verlag.

引用

页码：339 / 343

页数：4

共 9 条

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[8] Yoong W., Massiah N., Olowu A., Obstetric hysterectomy: Changing trends over 20 years in a multiethnic high risk population., Arch Gynecol Obstet, 274, pp. 37-40, (2006)
[9] Rizvi F., MacKey R., Barret T., McKenna R., Geary M., Successful reduction of massive postpartum haemorrhage by use of guidelines and staff education., BJOG, 111, 5, pp. 495-498, (2004)

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