Management of Massive Bleeding in a Jehovah’s Witness Obstetric Patient: The Overwhelming Importance of a Pre-Established Multidisciplinary Protocol

Life-threatening massive bleeding is doubtlessly one of the biggest challenges in health care, especially in patients who reject allogeneic transfusion, such as Jehovah’s Witnesses. However, according to the principle of patients’ autonomy, our job is to accept their decision and provide them with the best possible assistance. We present a protocol for the management of massive post-operative bleeding successfully applied in a Jehovah’s Witness after a Caesarean section (CS).