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Créée le : 08 Oct 2004
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Are women who are Jehovah’s Witnesses at risk of maternal death? Am J Obstet Gynecol. 2001 Oct;185(4):893-5.

Auteur·e(s) :

Singla AK, Lapinski RH, Berkowitz RL, Saphier CJ.

Année de publication :

2001

URL(s) :

http://www.sciencedirect.com/science?_ob=ArticleUR…

Résumé (français)  :

Abstract (English)  :

OBJECTIVE: The purpose of this study was to determine the rates of obstetric hemorrhage and maternal mortality in women who are Jehovah’s Witnesses and to evaluate a protocol that uses erythropoietin to optimize the red blood cell mass before delivery.

STUDY DESIGN: Obstetric outcomes were described for all of the women who were Jehovah’s Witnesses and who delivered at Mount Sinai Medical Center during an 11-year period. The risk of maternal death was compared with our general obstetric population during this interval.

RESULTS: A total of 332 women who were Jehovah’s Witnesses had 391 deliveries. An obstetric hemorrhage was experienced in 6% of this population. There were 2 maternal deaths among the women who were Jehovah’s Witnesses, for a rate of 512 maternal deaths per 100,000 live births versus 12 maternal deaths per 100,000 live births (risk ratio, 44; 95% CI, 9-211). Erythropoietin was associated with a nonsignificant increase in hematocrit level.

CONCLUSION: Women who are Jehovah’s Witnesses are at a 44-fold increased risk of maternal death, which is due to obstetric hemorrhage. Patients should be counseled about this risk of death, and obstetric hemorrhage should be aggressively treated, including a rapid decision to proceed to hysterectomy when indicated.

Sumário (português)  :

Resumen (español)  :

Remarques :

Argument (français) :

Les femmes témoins de Jehovah ont un risque d’HPP de quelques 10 fois plus élevé que les autres, mais au vu résumé on ne comprend absolument pas pourquoi …

Argument (English):

Argumento (português):

Argumento (español):

Mots-clés :

➡ médecine factuelle ; hémorragie postpartum ; mortalité périnatale

Auteur·e de cette fiche :

Cécile Loup — 08 Oct 2004