[Jehovah's witness patients in obstetrics : challenges and strategies].

Authors

Nordine Ben Ali, Arrigo Fruscalzo, Dominique Schneider-Lauper, Corinne Grandjean-Progin, Anis Féki

Published in

Revue medicale suisse. Volume 22. Issue 979. Pages 1682-1686. Oct 14, 2026.

Abstract

The refusal of blood transfusions by Jehovah's Witness patients is a major challenge in obstetrics. Although transfusions are rare (1.4 % in obstetrics), the lack of blood transfusions during severe hemorrhage significantly increases the risk of maternal death. This article analyzes the shift in the ethical paradigm in Switzerland, marked by the transition from paternalism to respect for the self-determination of the competent patient. It details blood management strategies (PBM), ranging from antenatal hemoglobin optimization to early surgical hemostasis. Multidisciplinary planning and the formalization of an individualized care plan remain the cornerstones of care that respects both values and medical safety.

PMID:
42908291
Bibliographic data and abstract were imported from PubMed on 23 Oct 2026.

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