Caesarean Section – JW

37 y/o F  for electives LSCS and tubal ligation

Background

  • Previous LSCS with spinal 
  • Current Pregnancy- gestational Hypertension (on Nifedipine) and elevated LFTS and proteinuria (concern for evolving HELP Syndrome) 

Issues

  • Jehovah’s Witness
  • Product discussion with patient and documented would accept: Cell salvage, FFP And cryoprecipitate

Discussion

  • For re-discussion on day of procedure with patient (confidentially) 
  • Patient wishes should be determined in absence of partner or church representative presence

Plan

  • Planned procedure Wed 1/6 (Procedural anaesthetist at meeting and aware)