Canterbury DHB
Obstetric patients are at risk of serious life-threatening haemorrhage. In a nationwide retrospective study examining all cases of maternal mortality in the Netherlands between 1983 and 2006; all identified cases of maternal mortality in JWs during this period were caused by major obstetric haemorrhage [18].
As with the adult patient requiring surgery, the wishes, and decisions of the patient need to be made clear in advance i.e. early on in pregnancy/at booking. This should include a frank and clear discussion with the patient about the risks to the patient and the baby associated with refusal of blood products and other interventions. This discussion and consent to, or refusal of, blood products and any other interventions should be clearly documented in the patient's clinical notes.
Topic Code: 47850