Thursday November 8 5:32 PM ET
Childbirth Death Risk High in
Jehovah's Witnesses
By Charnicia E. Huggins
NEW YORK (Reuters Health) - Women who are Jehovah's
Witnesses have a dramatically increased risk of death due to
excessive blood loss during childbirth and their refusal to
replenish this loss with donated blood, according to the results
of a study.
Blood transfusions are the conventional treatment for obstetric
hemorrhage, or excessive blood loss, but such procedures,
along with any other medical treatments that involve the
administration of blood or blood products, are forbidden by the
Jehovah's Witness religion.
``Pregnancy is safe for women who accept blood products,''
lead study author Dr. Carl J. Saphier of Mount Sinai School of
Medicine in New York told Reuters Health.
Those who reject such products, on the other hand, may have
an increased risk of mortality, ``but it may be minimized by
giving appropriate care,'' he said.
Saphier and his colleagues investigated the risk of maternal
death in a study of 332 Jehovah's Witnesses who gave birth at
Mount Sinai Medical Center from January 1988 through
December 1999.
Nearly 400 deliveries--both vaginal and Cesarean--took place
during the study period, and 24 patients (6%) experienced an
obstetric hemorrhage, Saphier and his colleagues report in the
October issue of the American Journal of Obstetrics and
Gynecology (news - web sites).
Two women died from the hemorrhage, corresponding to a
rate of 521 deaths per 100,000 live births--a maternal death
rate nearly 44 times higher than that among the general US
population, the report indicates.
Currently, treating obstetric hemorrhage and certain other
conditions among Jehovah's Witnesses may involve the use of
blood-free products called volume expanders--solutions that
are mixed with the patient's own blood to make up for blood
lost during surgery--or cell savers, which are devices that
collect and recycle the patient's blood.
For one of the patients who died, however, the cell saver
treatment was ineffective because she had already lost large
amounts of blood vaginally, the authors note.
``The findings imply that special care is required for women
who are Jehovah's Witnesses, including special counseling
prior to delivery, methods of minimizing the blood loss at
delivery, and fast treatment for any hemorrhage,'' Saphier said.
SOURCE: American Journal of Obstetrics and Gynecology
2001;185:893-895.
Available onlilne: http://dailynews.yahoo.com/h/nm/20011108/hl/childbirth_1.html