A Case of Jehovah's Witness for Emergency Lower Segment Caesarean Section with Global Left Ventricular Hypokinesia

Dr. Swekchha Jain, Dr. Priti Devalkar

Abstract: Jehovah's Witnesses represent a unique medical population, in relation to their opposition to blood transfusion. With obstetric hemorrhage being the major cause of maternal mortality, pregnant Jehovah's Witnesses are in exceptional jeopardy. A 34 year old Jehovah's witness, diabetic female, registered ANC, G2A1 at 38weeks was admitted prior to LSCS (Lower segment caesarean section) with history of breathlessness since 2 months. Prior cardiac evaluation showed global left ventricular hypokinesia with Ejection Fraction of 25%. Decision for emergency LSCS was made in view of non reassuring non stress test. On day of surgery, patient was induced under low dose spinal - epidural after securing central venous access under local anaesthesia. Procedure was performed by a skilled obstetrician and recovery was uneventful.

Keywords: Jehovah's witness, Lower segment caesarean section, Low dose spinal-epidural

How to Cite?: Dr. Swekchha Jain, Dr. Priti Devalkar, "A Case of Jehovah's Witness for Emergency Lower Segment Caesarean Section with Global Left Ventricular Hypokinesia", Volume 12 Issue 4, April 2023, International Journal of Science and Research (IJSR), Pages: 907-908, https://www.ijsr.net/getabstract.php?paperid=SR23414001228, DOI: https://dx.doi.org/10.21275/SR23414001228