Monday, October 15, 2007

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


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

Cause of death: Sepsis? Cerebral malaria?

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