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Neonates are defined as babies up to 28 days after birth. [1] Most extremely preterm babies (less than 28 weeks) require at least one red cell transfusion; [2] this is partly due to the amount of blood removed with blood samples compared to the baby's total blood volume (iatrogenic anemia) [3] and partly due to anemia of prematurity.
[34] [35] In Japan, children under 15 can be administered blood transfusions against their and their parents' wishes, and children between the ages of 15 and 18 can be similarly treated provided they, or at least one of their legal guardians, consent to the procedure. [36]
Doctors sought a blood transfusion, but A.C. and her parents refused on religious grounds; child welfare officials moved to take her into care and a court ordered that she be given the transfusion. The judge said he was satisfied she was competent, but since she was under 16 the judge felt that her competence was immaterial to existing law. [6]
However, if doctor's opinions are that parents and guardians are making harmful choices about children, they can be overruled (in some jurisdictions) using legal arguments based on the harm principle; in this case if doctors believe that refusing the blood transfusion would put the child at risk of serious injury or death. [138]
Patient Blood Management is an approach that can be implemented in hospital settings for taking care of people who require blood transfusions. [4] PBM includes techniques that may help ensure each person receiving a blood transfusion receives optimal treatment for their condition and also ensures that the blood supply (bank of donated blood) is maintained to ensure that all people who require ...
Blood compatibility testing is routinely performed before a blood transfusion.The full compatibility testing process involves ABO and RhD (Rh factor) typing; screening for antibodies against other blood group systems; and crossmatching, which involves testing the recipient's blood plasma against the donor's red blood cells as a final check for incompatibility.
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