You know, that was spoken more out of emotion than clarity in thought. You are right, transfusions are dangerous. And, frankly, because I REFUSED my transfusion, I was able to later undergo a bone marrow harvest to save a random man's life...and had I had the transfusion, I would have been disallowed from doing that. So, probably, no, I wouldn't refuse, after all.
Perhaps, though, as practitioners, we might warn the mothers...something like, "I am in the process of giving you a drug called cytotek. It should stop the bleeding, and has the potential to cause significant cramping." ? I've seen midwives do this with homeopathy, with herbs...it would have been appreciated if the staff dealing with my bleed-out had given me that little bit of preparation, as well...
And I have seen bleed-outs that look like you're running a faucet full blast, so I know that there is NOT ALWAYS the benefit of taking that time...but when there is, if you've never had it used on you, please know that it has the potential for horrifically painful cramps, and warn your clients (before or after administration) accordingly, if you can.
Yes, this is an emotion charged issue for me...I just want practitioners to be aware that it CAN be a terrible experience (on top of the fact that they're hemorraging at all, which is surreal at best, REALLY scary at worst).