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ATERNAL ORTALITY
EETING
CHAIRPERSON: Dr.
PRESENTERS: Dr. walter
DATE: 11tha!"ar# 2$12
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INTROD%CTION
NAME: S.A
AGE: 41#r&.
RESIDENCE: Mt'!(a!).OCC%PATION: H*
DOA+ 26.11.2$11. at 2$4,hr&
DOD+ 2,.11.2$11. at 1-$hr&Days of stay at Temeke hospital 1 day.
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GRAIDITY: Gr0 P4$0 L40 LC13#r&
LMP+ 2$.4.2$11
EDD: 2,.1.2$12GA: 2- wee&
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HISTORY a!5 e6a7.2# A57t
!"r&e
A57)tte5 )! w5 1 at 2$4,hr&.
D"e t' la8'"r 9a)!
OE+
Ge!eral '!5)t)'! (''5
Te79. ;6.C
P 11$/6$ 77H(
N' 9r'te)!"r)a
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PA:
FH 36/40
Fetal size medium
Lie longitudinal
Presentation Cephalic
FHR +ve
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PVE :
Cx: dilatation TOF,
LEVEL 3/5,
SVD expected
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ANTENATAL H
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l''5 (r'"9 !'t 5'!e
He7at)!)& !'t ()=e!
SP !'t ()=e!Me8e!5a>'le !'t ()=e!
TT !'t &h'w!
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O! 2,thN'=e78er at 112$hr& 9t wa&&ee! 8# Dr a!5 the ?'ll'w)!( wa&!'te5:
A7)!'rrh'ea -/12
@e=er ;/,
C'"(h)!(
G)=e! )7 ")!)!e at 5)&9e!&ar#
PMTCT '!e '! AR 7e5)at)'!
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OEL'' &)0'r)e!te5N't 9ale0 Oral thr"&h0
D#&9!'e)A?e8r)leHa5 a P ,$/$ 77H( PR 11897
RS S0 RR !'t 5'!e
PA 5)&te!5e50@H 24/4$0l)e L'!(0e9h9re&e!tat)'!0 @HR 14$ 897
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PE ="l=ae wart&0TO@0)!tat 770le=el4/
Te79. ;,C
Che&t 8a&al !e rale&
PA@H 2-/4$
@HR =e
PE C l'&e5
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D: Mal )! 9re(!a!#
Ge!)tal wart&
P9 DD< 9!e"7'!)a
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Pla!:%r(e!tRG
S ?'r 79&0H8 le=el0
Nal 2L0 ta8&
'tr)7'a>'le 36$7( t5& 1/2
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At 12.;$ re=)ewe5 !5)!(+
D#&9!'e)0RR;4r97
Ge!eral 8'5# wea!e&&09)!0 A?e8r)le
RG 2.277'l/L P ,$/4$
Re&9. 8a&al !e rale&0
PA @H2-/4$0@HR =e0
PE C< l'&e50
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D: H#9'(l#ae7)a0
PCP R/' PT0Malar)a )! 9re(!a!#0
I%GR0
Oral a!5)5)a&)&0
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Pla!: 1$5etr'&e 1L0 ta8&")!)!e 6$$7( t5& 6/,0
9e! I% 6hrl# 240 7)'!a>'le'ral (el -hrl# /,0 Hae7at)!)&0
S @OR MPS0
RG0 Se9tr)! 132$7( t5&0&9"t"7 ?'r A@0
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At 16$$hr& 9t wa& re=)ewe5 !5)!( !'t&tarte5 7e5))!e &he a!t aF'r5
Pla!: )!?'r7 O=erallO#(e! thera9#
C'!t M a8'=e
N"r&e )! ar5)a 8e5
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At 1,4hr& 9t ='7)te5 '!e
St)ll ha& 5)B"lt )! 8reath)!(
I!rea&e5 ?re"e!# '? '"(h)!(Pt 5eter)'rat)!(
PR 12897
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D PCP
&e=ere a!ae7)a )! 9re(!a!#
Malar)a )! 9re(!a!# H#9'(l#ae7)a
H#9'te!&)'!
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Plan: C'!t)!"e '#(e! thera9#
)!et)'! h#5r''rt)&'!e
1$$7( &tat ReFer t' MNH ?'r 8l''5
tra!&?"&&)'! a!5 'ther
Ma!a(e7e!t
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At 2124hr& 9t ret"r!e5 ?r'7 MNHalrea5# 5ea5 w)th'"t a!# wr)tte!!'te.
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CA%SE O@ DEATH
CARDIORESPIRATORY ARREST
SECONDARY TO AIDS
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S"77ar#
I ha=e 8ee! 9re&e!t)!( a 7ater!al 5eath'? S.A 41#r& 'l5 GP4$ L4 wh'a57)tte5 '! 2601102$11 at TM h'&9)tal
w)th la8'r l)e 9a)! a!5 5)e5 a 5a# a?tera57)&&)'! w)th HI/AIDS relate5 )!9re(!a!#
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Pre=e!ta8le Deathre=e!ta8le Death
Ye&e&
At ?a7)l# le=elt ?a7)l# le=el
D"r)!( ANC"r)!( ANC
At Te7eet Te7e4eAt "h)78)l)
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*hat wa& 5'!e :'rre:tl#
Pt atte!5)!( RCH a& erl# a& 12w& GA
Pt atte!5)!( h'&9)ta a& &he ?'"!5a85'7)!al 9a)!
@re"e!# re=)ew
A!5 &a7e 7a!a(e7e!t
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*hat wa& )!a9r'9r)ate
At ?a7)l# le=el '!e)=e
At the RCHI!=e&t)(at)'!
Ph#&))a! JCar5)'l'()&tK
ECG. A!5 ECHO
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At Te7e4e H'&9)tal
The a57)tt)!( !"r&e wa& !'t ee!
e!'"(h t' real)>e the 9t '!5)t)'!a!5 &ee &e'!5 '9)!)'!.
Dr 5)5 !'t &ee a5=)e ?r'7 e9ert&.
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Thanx
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Pre=e!ta8le Death
Ye&
D"r)!( ANC
At Te7ee
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