There were eight maternal deaths, which were recognized
as grade IV hemorrhage. All had inadequate management,
6 of which, the management was inadequate in both fluid
resuscitation and blood transfusion. Seven of the eight
patients did not respond to medical or conservative treatment
and required hysterectomy, and all deaths had clotting
disorders. The failure of medical management, which forces
more aggressive actions, can be a predictor of poor clinical
outcome. Patients that required hysterectomy have a higher
risk of death; and in our study all but one patient who died
was subject to hysterectomy
There were eight maternal deaths, which were recognizedas grade IV hemorrhage. All had inadequate management,6 of which, the management was inadequate in both fluidresuscitation and blood transfusion. Seven of the eightpatients did not respond to medical or conservative treatmentand required hysterectomy, and all deaths had clottingdisorders. The failure of medical management, which forcesmore aggressive actions, can be a predictor of poor clinicaloutcome. Patients that required hysterectomy have a higherrisk of death; and in our study all but one patient who diedwas subject to hysterectomy
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