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Multidisciplinary therapy, including the insertion of balloon catheters into the bilateral common iliac arteries, acute normovolaemic haemodilution and intraoperative blood salvage, avoided hysterectomy; however, blood loss included amniotic fluid which was estimated to be 1910\u2009mL. These treatments may be effective for total placenta previa in blood-refusal patients.<\/jats:p>","DOI":"10.1136\/bcr-2018-226486","type":"journal-article","created":{"date-parts":[[2018,11,9]],"date-time":"2018-11-09T02:25:46Z","timestamp":1541730346000},"page":"bcr-2018-226486","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Successful treatment of total placenta previa by multidisciplinary therapy in a Jehovah\u2019s Witness patient who refused blood transfusions"],"prefix":"10.1136","volume":"2018","author":[{"given":"Sayaka","family":"Tachi","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Toyama, Toyama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noriko","family":"Yoneda","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Toyama, Toyama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Yoneda","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Toyama, Toyama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeru","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Toyama, Toyama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,11,8]]},"reference":[{"key":"2025082723355634000_2018.nov08_1.bcr-2018-226486.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)00394-3"},{"key":"2025082723355634000_2018.nov08_1.bcr-2018-226486.2","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1046\/j.1471-0528.2003.01161.x","article-title":"Antenatal erythropoietin and intra-operative cell salvage in a Jehovah\u2019s Witness with placenta praevia","volume":"110","author":"de Souza","year":"2003","journal-title":"BJOG"},{"key":"2025082723355634000_2018.nov08_1.bcr-2018-226486.3","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1111\/j.1479-828X.2004.00316.x","article-title":"En caul delivery of the fetus to facilitate cell salvage","volume":"44","author":"McGurgan","year":"2004","journal-title":"Aust N Z J Obstet Gynaecol"},{"key":"2025082723355634000_2018.nov08_1.bcr-2018-226486.4","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.1097\/01.AOG.0000157762.65732.1b","article-title":"Conservative management of placenta previa percreta in a Jehovah\u2019s Witness","volume":"105","author":"Weinstein","year":"2005","journal-title":"Obstet Gynecol"},{"key":"2025082723355634000_2018.nov08_1.bcr-2018-226486.5","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.ijoa.2007.07.005","article-title":"Acute normovolemic hemodilution, intraoperative cell salvage and PulseCO hemodynamic monitoring in a Jehovah\u2019s Witness with placenta percreta","volume":"17","author":"Nagy","year":"2008","journal-title":"Int J Obstet Anesth"},{"key":"2025082723355634000_2018.nov08_1.bcr-2018-226486.6","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1055\/s-0030-1266158","article-title":"Massive obstetric hemorrhage in a Jehovah\u2019s Witness: intraoperative strategies and high-dose erythropoietin use","volume":"28","author":"Belfort","year":"2011","journal-title":"Am J Perinatol"},{"key":"2025082723355634000_2018.nov08_1.bcr-2018-226486.7","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1213\/XAA.0000000000000258","article-title":"Blood-Conservation Strategies in a Blood-Refusal Parturient with Placenta Previa and Placenta Percreta","volume":"6","author":"Mauritz","year":"2016","journal-title":"A A Case Rep"},{"key":"2025082723355634000_2018.nov08_1.bcr-2018-226486.8","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1097\/TA.0000000000001602","article-title":"Two lives, one REBOA: Hemorrhage control for urgent cesarean hysterectomy in a Jehovah\u2019s Witness with placenta percreta","volume":"83","author":"Russo","year":"2017","journal-title":"J Trauma Acute Care Surg"},{"key":"2025082723355634000_2018.nov08_1.bcr-2018-226486.9","doi-asserted-by":"crossref","unstructured":"Wong AJ , Schlumbrecht M , Huang M . 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