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  • Title: Massive obstetric hemorrhage in a Jehovah's Witness: intraoperative strategies and high-dose erythropoietin use.
    Author: Belfort M, Kofford S, Varner M.
    Journal: Am J Perinatol; 2011 Mar; 28(3):207-10. PubMed ID: 20827658.
    Abstract:
    A massive obstetric hemorrhage resulting in an extremely low hematocrit (5.9%) required innovative intraoperative and postoperative management. We used a combination of rapid intraoperative volume replacement, aortic compression, chemical coma, high-dose erythropoietin, and enteral iron replacement to elevate the hematocrit in a patient refusing blood transfusions.
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