Palau Maternal Mortality after 20 years. What Happen? . Presented by Dr. D. Ngemaes July 9 – 12, 2013 Apia, Western Samoa. MOH Mortality Statistics - 2010. Cause of Death. Source: Ministry of Health Epidemiology. Cardio/ Cerebrovascular Deaths - 2010.
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Presented by Dr. D. Ngemaes
July 9 – 12, 2013
Apia, Western Samoa
Cause of Death
Source: Ministry of Health Epidemiology
Source: Ministry of Health Epidemiology (Death Certificate Review)
Ob team approached for consultation; care initiated & to continue same management.
1 unit of blood transfused
Continue IVF (rate adjusted)
No changes in management.
Maternal and Fetal Review
Continue IVF with increased rate.
No additional orders
CBC- WBC: 23.1
BUN/Creatinine: urea-25, creatinine-1.2
Bleeding time- 4min.15sec
EKG: ST elevation on all leads
CXR: Enlarged Heart
Cardiac U/S: Moderate
Patient lost about 2.5 liters of blood.
Required continuous intra-operative transfusion.
Baby delivered- no complications.
Mother transferred to SW ICU and placed on Ventilator.
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