Canterbury DHB

Context

The adult obstetric patient who declines blood products

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.

About this Canterbury DHB document (47850):

Document Owner:

Julia Czuprynska and Richard Seigne (see Who's Who)

Issue Date:

August 2014

Next Review:

August 2016

Keywords:

Note: Only the electronic version is controlled. Once printed, this is no longer a controlled document. Disclaimer

Topic Code: 47850