Placental Abruption in Patient Safety, Preventive & Ethics — Case | Ethics | SMLE Q#283
SMLE Question #283
Patient Safety, Preventive & Ethics
Ethics
Last updated: February 2026
A 29-year-old G2P1 woman at 34 weeks’ gestation undergoes emergency cesarean delivery for placental abruption. Before surgery, while alert and oriented, she stated she refuses blood transfusion under any circumstances for religious reasons, and this was documented in her chart. Intraoperatively, she has ongoing massive bleeding and becomes confused and intermittently unresponsive. The team believes death is likely without transfusion. What is the most appropriate next step in management?
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