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)


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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Dr Kim MacLeod

ST6 Warrington Hospital, Lovely Lane, WA5 1QG

Dr Louise Robertson

ST5 Warrington Hospital, Lovely Lane, WA5 1QG

Mr Nigel Holland

Consultant Obstetrician and Gynaecologist
Warrington Hospital, Lovely Lane, WA5 1QG


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
3. Watch Tower Bible and Tract Society of Pennsylvania Official Website
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.


Conflict Of Interest

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About the Clinical Cases Database

T​he 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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