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- Georgios Lialios, Athanasios Kallitsaris, Konstantinos L Bourantas, and Ioannis E Messinis.
- Department of Obstetrics and Gynecology, Medical School, University of Thessalia, Greece. lialiosg@hotmail.com
- J Reprod Med. 2005 Nov 1; 50 (11): 863-6.
BackgroundWomen carrying triplets are at greater risk for both anemia, due to the increased demands of the developingfetuses, and peripartum hemorrhage. Jehovah's witnesses are a unique obstetric population since women of this faith refuse blood transfusion.CaseA Jehovah's Witness with a triplet pregnancy was successfully administered recombinant human erythropoietin (rHuEpo), 200 IU/kg 3 times per week subcutaneously, in order to correct her peripartum anemia. No side effects were observed during rHuEpo therapy, and the patient delivered healthy triplets.ConclusionrHuEpo can be safely administered, with a beneficial effect in pregnancy, and seems to be an effective option in preventing transfusions as demonstrated in this case in a Jehovah's Witness.
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