Maternal Mortality #3

Age: 36
Date of death: Hospital day #3, Postpartum day #6
Death during delivery: No
Clinical diagnosis

• Fever, severe headache, abdominal pain, vomiting (history of fever for past three months)
• Wasn’t feeling well, treated herself for malaria, started contractions, had spontaneous abortion at 16 weeks (due to fever?)
• Went to HC III, where she as treated and discharged
• Discharge from vagina, had herbal treatment
• Poorly treated malaria and incomplete septic abortion
• Disoriented and generalized convulsions, but GCS is 15/15
• HIV negative
  

Interventions:

• Antibiotics
• Evacuation performed – resulted in significant bleeding
• IV fluids
• IV quinine
• Blood smear requested, but no result listed

Cause of death: Sepsis? Cerebral malaria?