just putting in the whole article on the inquest result in case anyone wants to look it up another time
http://www.dailymail.co.uk/news/article-558144/Jehovahs-Witness-refused-blood-transfusion-giving-birth-said-Ive-babies-Ill-happily-die.html
A Jehovah's Witness who died after refusing a blood transfusion following childbirth had told a midwife she would happily die now she had her children, an inquest heard yesterday.
Emma Gough, 22, gave birth to a healthy boy and girl and was taken to a recovery ward where she was able to breastfeed the twins.
But the inquest heard she developed a "huge" blood clot leaving her in severe pain.
Emma Gough, with husband Anthony, lost more than four pints of blood after developing a 'huge' clot shortly after delivering healthy twins
She was taken into an operating theatre for an exploratory procedure to remove the clot and find the source of bleeding.
Midwife Kelly Roberts told how, before the operation, Mrs Gough had alluded to the restrictions placed upon her by her faith - which dictates that certain Bible passages explicitly prevent followers from receiving blood transfusions.
The midwife said: "Emma stated to me that she was happy whatever happened to her, even if she died, as she had had her babies."
Registrar Dr Lucy Turner told the inquest she had twice asked Mrs Gough if, in a "life and death situation", she would accept a blood transfusion, and each time the Jehovah's Witness said "no".
Dr Turner, who delivered the twins, said Mrs Gough was "rational, clear and coherent".
The inquest had previously heard that Olufunso Oyesanya, the consultant gynaecologist on duty at the Royal Shrewsbury Hospital, had, along with other staff, repeatedly pleaded with Mrs Gough, her husband Anthony, 24, and her parents to overrule an "advance directive" signed by the patient which barred
a blood transfusion.
He said Mrs Gough had been aware of the risks of haemorrhaging after giving birth and had signed the directive after a "long discussion" with other hospital staff earlier in her pregnancy.
Mr Oyesanya said: "She knew of the risk of haemorrhage and that a blood transfusion could be lifesaving.
"I formed the impression we could have corrected the blood loss by transfusion but she would not accept a blood transfusion."
Mrs Gough, of Telford, Shropshire, died the day after the operation to remove the clot last October.
Mr Oyesanya told the hearing in Shrewsbury that hours after Mrs Gough's death he had spoken to her mother, Glenda Delaney, who is also a Jehovah's Witness.
Mrs Delaney told him her daughter had "remained faithful to her God".
An expert witness who produced a report on Mrs Gough's treatment on behalf of the Medical Protection Society, representing Dr Turner, told the inquest Mrs Gough's care had been "acceptable and defendable".
James Walker, a professor of obstetric gynaecology at St James's University Hospital in Leeds, concluded: "Mr Oyesanya managed to stop the flow of blood and a blood transfusion would have allowed Mrs Gough to recover."
He said clots caused by blood vessels rupturing from stress placed on them by childbirth were a "natural occurrence" affecting around one in 2,000 deliveries.
Coroner John Ellery recorded a narrative verdict that Mrs Gough died of severe anaemia caused by complications of birth and said that if she had accepted a blood transfusion "in all probability" she would have survived.
She received "appropriate medical care and treatment".
After the inquest, Mrs Gough's family refused to comment.
A spokesman for Shrewsbury and Telford Hospital NHS Trust said: "These were tragic and unusual circumstances and our deepest sympathies are with Emma's family."
