Abstract
(Anesth Analg. 2024;138(1):89–95) Patients with postpartum hemorrhage (PPH) often need blood transfusions, but there are groups of individuals who are morally or religiously against receiving transfused blood products. The most prominent religious group to refuse transfusions are Jehovah’s witnesses (JW); some may accept minor blood components such as albumin or cell salvage, but many refuse at least major blood components. The preferences and beliefs of these patients must be considered, along with ethical and legal implications surrounding the medical decisions during PPH. This article examines the implications, ethically and legally, of patients who are awake and able to participate in conversations about blood transfusions and change their minds about wanting to proceed, arguing that it is ethically necessary in specific circumstances for a physician to reassess a patient’s wishes mid-crisis and follow through with those decisions.
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