Morbidity and mortality risk in J.W.. patients

by TheWonderofYou 7 Replies latest watchtower medical

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  TheWonderofYou

  
  

  http://www.glowm.com/pdf/PPH_2nd_edn_Chap-72.pdf

  TA more recent (2009) study from The Netherlands16 concluded that: ‘Women who are Jehovah’s Witnesses are at a six times increased risk for maternal death, at a 130 times increased risk for maternal death because of major obstetric hemorrhage and at a 3.1 times increased risk for serious maternal morbidity because of obstetric hemorrhage, compared to the general Dutch population.’

  The article highlights how J.W.-women are managed.

  
  

  
  

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  Source: Appeared in the Global Library of Womens medicine
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  OrphanCrow

  Women in the JW religion.

  No power.

  And not only that...a greatly increased risk of dying from loss of blood.

  JW women. The most vulnerable with the least amount of power.
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  TheWonderofYou

  JW women are between the fronts. IIts to consider they are heavily influenced by J W family and obidience not only to personal conscience but very much to obidience to the WatchtowerSociety-HLC.

  You may also wish to contact the hospital liaison committees established by the Watch Tower Society (the governing body of Jehovah’s Witnesses) to support Jehovah’s Witnesses faced with treatment decisions involving blood. These committees can advise on current Society policy regarding the acceptability or otherwise of particular blood products. They also keep details of hospitals and doctors who are experienced in ‘bloodless’ medical procedures.

  In the final analysis, the decision to abstain from blood transfusion is a personal one and not, as commonly portrayed, a dictate from the world headquarters in the USA.

  The depth of belief of each individual Witness is well summarized in the booklet Management of Anaesthesia for Jehovah’s Witnesses, published by the Association of Anaesthetists of Great Britain and Ireland: ‘Administration of blood to a competent patient, against their will and in conflict with their genuinely held beliefs, has been likened by the Witnesses to rape. It will not result in expulsion from the community if it was carried out against the expressed wishes of the patient but may have as deep a psychological effect as forceful sexual interference’8

  In which cases the Hospital Liason Committee of the Watchtower is dictated or ordered to act and to intervene at the patients bed? Only in cases where the hospital calls it? And how does it than guarantee that it would not DICTATE - not in the least - the womans personal decision?

  Of course the World headquarter as far away as in the USA is not directly contacted via the red telephone. e.g. "Here Lösch, hello any question about what is personal choice?" how ridiculos, who could ever come up with such a ridiculos assumption?
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  TheWonderofYou

  http://emedicine.medscape.com/article/275038-overview

  article 3/2016

  Postpartum hemorrhage (PPH) is the leading cause of maternal mortality. All women who carry a pregnancy beyond 20 weeks’ gestation are at risk for PPH and its sequelae. Although maternal mortality rates have declined greatly in the developed world, PPH remains a leading cause of maternal mortality elsewhere.

  
  
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  TheWonderofYou

  Obstetric patients who reject blood transfusion are considered at high risk and should ideally be seen prior to presentation in labour and delivery in order that the specific blood management protocol can be selected, taking into consideration that not all Jehovah’s Witnesses refuse all blood products and each case is different.

  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5111381/
  
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  TheWonderofYou

  https://www.ncbi.nlm.nih.gov/pubmed/28121643
  

  Peripartum Care of the Jehovah's Witness Patient.
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  TheWonderofYou

  May 2017

  http://www.uptodate.com/contents/the-approach-to-the-patient-who-refuses-blood-transfusion
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  TheWonderofYou

  http://www.apicareonline.com/obstetric-hemorrhage-anesthetic-implications-and-management/

  BLOOD CONSERVATION STRATEGIES:74

  Autologous blood transfusion:

  In pregnanacy, concerns have been raised regarding placental insufficiency, whether the woman will make up her hemoglobin before delivery and whether the collected units will be sufficient in the event of major obstetric hemorrhage.75 Hence, the use of pre-autologous blood deposit is not recommended in pregnancy (exception being a mother who is Jehovah’s witness)76.

  Intra operative cell salvage:

  This technique is commonly being used in cardiac, orthopedic and vascular surgeries with relative reduction of blood transfusion by 39%.77 The use of cell salvage in peripartum hemorrhage is still controversial. The potential difficulty in bleeding mothers is the effective removal of amniotic fluid and degree of contamination with fetal red cells. Still, several bodies based on current evidence have endorsed cell salvage in obstetrics. Intraoperative cell salvage has an undisputed role in patients who refuse blood or blood component transfusion (Jehovah’s Witness) and in patients where massive blood loss is anticipated (placenta accreta, percreta)77