Management of severe anemia secondary to menorrhagia in a Jehovah's Witness: a case report and treatment algorithm

Griselda Gutierrez; Joy Brotherton

doi:10.1016/j.ajog.2011.01.055

Management of severe anemia secondary to menorrhagia in a Jehovah's Witness: a case report and treatment algorithm

Am J Obstet Gynecol. 2011 Aug;205(2):e5-8. doi: 10.1016/j.ajog.2011.01.055. Epub 2011 Mar 31.

Authors

Griselda Gutierrez¹, Joy Brotherton

Affiliation

¹ Department of Obstetrics and Gynecology, Harbor-UCLA Medical Center, David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, CA, USA. ggutierrez@obgyn.humc.edu

PMID: 21457912
DOI: 10.1016/j.ajog.2011.01.055

Abstract

We report a 44 year old nulligravida Jehovah's Witness with a known fibroid uterus who presented with menorrhagia and life-threatening anemia. Adamant in her refusal of blood products and deemed too unstable for surgical management, the patient was managed conservatively by a multidisciplinary team.

Publication types

Case Reports
Review

MeSH terms

Adult
Anemia, Hemolytic / diagnosis
Anemia, Hemolytic / etiology
Anemia, Hemolytic / therapy*
Blood Transfusion
Combined Modality Therapy
Disease Management
Emergency Service, Hospital
Female
Follow-Up Studies
Humans
Jehovah's Witnesses*
Menorrhagia / complications*
Menorrhagia / diagnosis
Menorrhagia / therapy
Risk Assessment
Severity of Illness Index
Treatment Refusal*
Uterine Hemorrhage / diagnosis
Uterine Hemorrhage / therapy