My cousins wife a few years back had complications during childbirth and they told her and her husband and family that she will die if not given a transfusion. 100%. She refused. They even took my cousin aside and said we can give her one and we wont say anything etc but he refused. She was discharged from hospital the next day. Many people arent aware of the complications that can can arise from transfusions also. Everything comes with a risk.