Clinical Case Database / Category: Patient Management
PPH With A Jehovah's Witness
Publication details
Dr Kim MacLeod, Dr Louise Robertson, Mr Nigel Holland
Foundation Years Journal, volume 8, issue 9, p.64 (123Doc Education, London, October 2014)
Abstract
A 36 year old Jehovah's Witness delivered her 4th baby and had a 2.3L post-partum haemorrhage. This case study discusses the antenatal management of the patient, management of the acute bleed and the ethical and legal issues pertinent to patients who refuse blood products.
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Authors
Dr Kim MacLeod
ST6 Warrington Hospital, Lovely Lane, WA5 1QG
kimmacleod27@yahoo.co.uk
Dr Louise Robertson
ST5 Warrington Hospital, Lovely Lane, WA5 1QG
louise.robertson@hotmail.com
Mr Nigel Holland
Consultant Obstetrician and Gynaecologist
Warrington Hospital, Lovely Lane, WA5 1QG
nigel.holland@whh.nhs.uk
References
1. Prevention and management of postpartum haemorrhage. Royal College of Obstetricians and Gynaecologists Greentop guideline Number 52 May 2009.
2. Academic life in emergency medicine. Bakri balloon http://www.academiclifeinem.com/trick-of-the-trade-foley-catheter-for-dub/.
3. Watch Tower Bible and Tract Society of Pennsylvania Official Website www.watchtower.org.
4. Watch Tower Bible and Tract Society. Questions from readers. Watchtower 2000 Jun 15:29-31.
5. Re T (Adult: Refusal of Medical Treatment). All Eng Law Rep 119;4:649-70.
6. Brace V. Learning from adverse outcomes â€" Major haemorrhage in Scotland in 2003-2005. BJOG 2007;114:1388-96.
7. Centre for Maternal and Child Enquiries (CMACE). Saving Mothers' Lives: reviewing maternal deaths to make motherhood safer: 2006â€"08. The Eighth Report on Confidential Enquiries into Maternal Deaths in the United Kingdom. BJOG 2011;118(Suppl. 1):1â€"203.
8. Massiah N, Athimulam S, Loo C, Okolo S, Yoong W. Obstetric care of Jehovah's Witnesses:a 14 year observational study. Arch Gynecol Obstet 2007;276:339-43.
Disclaimers
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
Financial Statement
The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
Patient Consent statement
All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
Animal & Human Rights
When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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