Date of death: Hospital Day #2
EDD: Post-delivery (abortion at 4 months induced 4 weeks prior)
Death d uring delivery: No
Clinical diagnosis:
- Arrives complaining of lower abdominal pains following induced abortion four weeks prior (cassava stem inserted vaginally)
- Second pregnancy, first child is alive
- Feverish, vomiting, moderate pallor, no jaundice, fully conscious but weak, in shock
- Foul-smelling discharge
- Impression: post-abortion sepsis
- Peritonitis secondary to septic abortion
- Find perforated uterus
- Declines quickly following surgery
- IV antibiotics
- IV fluids
- Exploratory laparotomy and total hysterectomy
- Taken to ICU following surgery
- Oxygen
Cause of death: Septic abortion
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