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Case 85 - A 34-Year-Old G0 Jehovah’s Witness Undergoing Myomectomy

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 34-year-old gravida 0 patient presents to your clinic with complaints of heavy menses and dysmenorrhea. She reports monthly periods lasting 10 days during which time she soaks overnight pads every 2 hours. She often passes large clots and has bled onto her sheets at night. She takes ibuprofen for cramping during her period and often misses work due to her symptoms. She has never been pregnant, but she and her partner would like to have children in the next few years. She denies other medical history and has never had surgery. She takes no medications besides ibuprofen and has no drug allergies. She states that she is a Jehovah’s Witness and does not accept blood products.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 260 - 262
Publisher: Cambridge University Press
Print publication year: 2021

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References

Jehovah’s Witnesses. Why don’t Jehovah’s Witnesses accept blood transfusions? Watch Tower Bible and Tract Society of Pennsylvania. Available at: https://www.jw.org/en/jehovahs-witnesses/faq/jehovahs-witnesses-why-no-blood-transfusions/. (Accessed 9/12/2020.)Google Scholar
How Do I View Blood Fractions and Medical Procedures Involving My Own Blood? Watch Tower Bible and Tract Society of Pennsylvania. Available at: https://wol.jw.org/en/wol/d/r1/lp-e/202006400. (Accessed 9/12/2020.)Google Scholar
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Parker, WH. Laparoscopic myomectomy and abdominal myomectomy. Clin Obstet Gynecol 2006; 49(4): 789–97.CrossRefGoogle ScholarPubMed
Stephen, W, Sawin, N, Pilevsky, J, Berlin, K, Barnhart, K. Comparability of perioperative morbidity between abdominal myomectomy and hysterectomy for women with uterine leiomyomas. Am J Obstet Gynecol 2000; 183(6): 1448–55.Google Scholar
Litton, E, Xiao, J, Ho, KM. Safety and efficacy of intravenous iron therapy in reducing requirement for allogeneic blood transfusion: systematic review and meta-analysis of randomised clinical trials. BMJ 2013; 347: f4822.CrossRefGoogle ScholarPubMed
Carless, PA. Cell salvage for minimizing perioperative allogenic blood transfusion. Cochrane Database Syst Rev 2010; (4): CD001888.Google Scholar

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