Blood Refusal In A Jehovah'S Witness Undergoing Laparotomy In Singapore.

Proposal Number:


Proposal Type:

Medically Challenging Case Report Poster 


Gerald Tse  
Singapore General Hospital


Yoong Chuan Tay  
Singapore general hospital


The Singapore Government banned the activities of Jehovah's Witnesses (JW) in 1972. However, JW patients undergoing surgery have the right to refuse transfusion of blood products. We describe our experience balancing ethical dilemmas in a JW patient presenting for major gynecologic surgery. She declined red blood cells, platelets, plasma and autologous blood transfusion. She accepted cryoprecipitate, fibrinogen concentrate, prothrombin complex concentrate, fibrin glue and albumin solution. Her surgery and post-operative recovery was uneventful with no transfusion required and she was discharged three days after her operation. A physician's duty of care is to provide care in the best interest of the patient while respecting their autonomy.

Professional Category:



Other - Blood transfusion refusal

Enter up to two references.

1. A.A.Klein, R.Bailey, A.Charlton, C.Lawson, A.F.Nimmo, S.Payne, A.Ruck Keene, R.Shortland, J.Smith, F.Torella and P.Wade. Association of Anaesthetists: anaesthesia and peri-operative care for Jehovah’s Witnesses and patients who refuse blood. Anaesthesia 2019, 74, 74-82.
2. KE Rollins, U Contractor, R Inumerable, DN Lobo. Major abdominal surgery in Jehovah’s Witnesses. Ann R Coll Surg Engl 2016; 98: 532–537 doi 10.1308/rcsann.2016.0210.