What is really disturbing about this incident is that it highlights the gender imbalance inside the JWs.
JW women are at a higher risk of dying from refusing blood than the men who make up the rules are. JW women have no say whatsoever in making the rules, and they are the ones most affected by them.
A core belief among members of the Jehovah’s Witness (JW) faith is that they will not accept blood transfusion or its primary components, including red and white blood cells, platelets and plasma, even when such transfusion could be life-saving1. This poses potential problems for obstetric services worldwide because obstetric haemorrhage remains a major cause of maternal mortality and morbidity2,3. Indeed, there is a general consensus that morbidity and mortality rates in association with childbirth are higher in these women than in the general population4–7. In the largest observational study in the USA, Singla et al. reported that JW women were at increased risk of maternal death and that blood loss was the major factor4. In the UK, the largest descriptive obstetric study of JW reported a 65-fold increased risk of maternal death compared to the national rate. In addition, there was significant haemorrhage (>1,000 mL) in 6% of all of Caesarean sections5.
More recently, a study from the Netherlands reported that compared to the non-JW Dutch population, JW women had a 6-fold higher risk of all causes of maternal death, a 130-fold increased risk of maternal death because of major obstetric haemorrhage and a 3-fold higher risk of maternal morbidity because of obstetric haemorrhage6. Other earlier studies support these views, both for obstetric and gynaecological operations7.
It is estimated that there are approximately 6 million JW worldwide, about 150,000 of whom reside in the UK. Thus JW women constitute a significant group at high surgical risk. Apart from menstrual blood loss and childbirth, the vulnerability of JW women as a group is further increased by the significant proportion of African women who are members, since these women have a high incidence of fibroid disease, and, therefore, a preponderance of menorrhagia and iron deficiency anaemia.
When it comes to the blood doctrine, being a JW woman is a high risk position to take - far riskier than the men who tell them what to do.