Massiah Nadine, Athimulam Shobana, Loo Chin, Okolo Stanley, Yoong Wai
Department of Obstetric and Gynaecology, Stirling Royal Infirmary, Fourth Valley Hospitals, Livilands Gate, Stirling, Scotland.
Arch Gynecol Obstet. 2007 Oct;276(4):339-43. doi: 10.1007/s00404-007-0346-0. Epub 2007 May 24.
Over a 14-year period, the obstetric outcome of Jehovah's Witnesses in an inner city hospital was reviewed and the effect of refusal of blood on morbidity and mortality evaluated. Ninety women had 116 deliveries and of these, 24% were delivered by caesarean section, 10% had instrumental deliveries and 66% were normal vaginal deliveries. Postpartum haemorrhage of >1,000 mls occurred in 6% and postpartum anaemia was the commonest complication. The mean postdelivery haemoglobin (11.10 +/- 1.15 g/dl) was not significantly less from the mean predelivery haemoglobin level (11.81 +/- 1.62 g/dl) (P > 0.05, paired t test). The single maternal death occurred after caesarean hysterectomy, which when extrapolated, resulted in a 65-fold increased risk of maternal death compared to the national rate. The optimum management of pregnant women who decline transfusion is discussed.
在14年的时间里，对一家市中心医院里耶和华见证会信徒的产科结局进行了回顾，并评估了拒绝输血对发病率和死亡率的影响。90名女性分娩了116次，其中24%通过剖宫产分娩，10%通过器械助产，66%为正常阴道分娩。产后出血超过1000毫升的发生率为6%，产后贫血是最常见的并发症。产后平均血红蛋白水平（11.10±1.15克/分升）与产前平均血红蛋白水平（11.81±1.62克/分升）相比，差异无统计学意义（P>0.05，配对t检验）。唯一的孕产妇死亡发生在剖宫产子宫切除术后，以此推断，与全国发生率相比，孕产妇死亡风险增加了65倍。文中还讨论了拒绝输血的孕妇的最佳管理方法。
