Monday, October 15, 2007

Maternal Mortality #4

Age: 25
Date of death: Hospital day #1 (9 hours after admission)
EDD: ??
Death during delivery: Yes
Clinical diagnosis:

  • Arrives after convulsion at home, had previously been well
  • IUFD
  • High blood pressure
  • Deteriorates quickly, unable to talk, unconscious, more convulsions
  • Blood clots from the mouth,bleeding from the mouth and blood in urine
  • Impression: at first head injury, then complication of eclampsia and hypoxia


  • Labor induced
  • Valium
  • Anticonvulsants
  • Magnesium sulfate
  • Patient was intubated and started on mechanical ventilation, arrested after three minutes of ventilation
  • Rescusitation started, doctor decides not to do CPR
  • Mother dies during delivery – baby extracted due to shoulder dystocia

Cause of death: Dissemintated intravascular coagulopathy with widespread haemorrhage into all tissues due to eclampsia

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