Sacks D A, Koppes R H
Am J Obstet Gynecol. 1986 Mar;154(3):483-6. doi: 10.1016/0002-9378(86)90586-7.
Jehovah's Witnesses are members of a religious denomination whose beliefs prohibit the use of blood or blood products. Plasma volume expanders and extracorporeal hemodilution of the patient's own blood are theologically acceptable. Acute massive hemorrhage in which only blood is lifesaving may be encountered in obstetrics and gynecology. Either withholding or administering blood in such circumstances may have legal consequences for the physician and hospital. Factors to be considered include fetal viability, the presence of dependent children, and rules of informed consent. Whenever possible, the potential for transfusion should be anticipated and clearly discussed with the patient. When appropriate, the physician and hospital should move rapidly to obtain judicial resolution.
耶和华见证人是一个宗教教派的成员，其信仰禁止使用血液或血液制品。血浆容量扩充剂和患者自身血液的体外血液稀释在神学上是可以接受的。妇产科可能会遇到仅输血才能挽救生命的急性大出血情况。在这种情况下，不给患者输血或给患者输血都可能给医生和医院带来法律后果。需要考虑的因素包括胎儿的存活能力、受抚养子女的情况以及知情同意规则。只要有可能，就应预估输血的可能性并与患者进行明确讨论。在适当的时候，医生和医院应迅速寻求司法解决方案。
