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rahullll modified maternal death.pptx 6666666666666666666666666666666.pptx
- 1. MATERNAL DEATH REVIEWMEETING FOR THE MONTH OF SEPTEMBER 2024
- 2.
- 3. PATIENT PARTICULARS : Name-Mampi Das Age- 20 yrs C/O- Amar Das Address- Bakalia P.O & PS- Bakalia, Karbi Anglong, Assam Date of Admission-19/9/2024 Time of Admission-11:19 AM
- 4. • BOOKED ORUNBOOKED CASE- Unbooked case • REFERRAL - No Referral • NO. & PLACE OF ANC- 1 ANC , Bakalia hospital
- 5. DIAGNOSIS ON ADMISSION- •Primi at 41 weeks 1 day Gestation in Latent Labour
- 6. CASE SUMMARY • Patientwas admitted in O&G OPD in DMCH on 19/9/24 at around 11:19 AM. She is a diagnosed case of Primigravida at 6 days postdated pregnancy in latent labour. On admission her vitals were stable..Pt was kept in observation room and monitoring done for progress of labour. All necessary investigation done .At around 12:00 AM on 20/9/24 Pt was prepared for LSCS for fetal distress.
- 7. • Post operativelypatient was stable and shifted to postnatal ward..At around 1;10 PM on 20/9/24 pt developed sudden cardiac arrest .Frothing present.her vitals were not recordable.Pt immediately Shifted to GICU..immediate resuscitative measures carried out..Despite of all the efforts pt coudn’t be revived back and declared death on 20/9/24 at 1:45 PM
- 8. VITALS AT THETIME OF ADMISSION O/E- P+ /I- /C- /O- /D- PR-82/min, BP-110/60 mm Hg, SPO2- 99% in RA Chest - B/L clear P/A- term size P/V- os- 1.5cm cs-soft ,short membrane -present station -high pelvis - average
- 9. • At 12amon 20/9/24 pt was prepared for EM LSCS for fetal distress LSCS was done and a live baby was delivered. Baby Note: Sex- BOY Weight-3.3 kg Time-12:30 am DOB- 20/09/24
- 10. BLOOD INVESTIGATION 19/9/2024 Total Bilirubin 0.9mg/dL Unconj Bilirubin 0.6 mg/dL Conjugate Bilirubin 0.3 mg/dL AST 38 U/L ALT 20 U/L Creatinine 0.5 mg/dL HBG 9.3g/dl WBC 10.42 RBC 4.00 PLT 264
- 11. ADMISSION TO INTERVENTIONINTERVAL: Immediate ADMISSION TO DEATH INTERVAL: 1 DAY 2HOURS
- 12. . DATE AND TIMEOF DEATH:20/09/2024 AT 01:45 PM CAUSE OF DEATH: ACUTE PULMONARY EMBOLISM
- 13.
- 14. PATIENT PARTICULARS: • Name:Namita paul • Age: 35 yrs • C/O: Mithun paul • Address: Chowdhury bazar,hojai,assam • Date of admission: 02/09/2024 • Time of Admission: 11:28 am
- 15. BOOKED OR UNBOOKEDCASE: Unbooked REFERRAL: NO NO. & PLACE OF ANC:No significant history
- 16. DIAGNOSIS ON ADMISSION: G2P1at 39 weeks 6 days gestation with transverse lie with gestational HTN In early labour
- 17. CASE SUMMARY • Patientwas admitted in O&G OPD in DMCH on 2/9/24 at 11:28 Am .She is diagnosed to be a case of G2P1 at 39weeks 6 days gestation with transverse lie with gestational HTN in early labour..All routine investigation were sent and patient was planned for emergency LSCS..She delivered a male baby of 3.3 kg at 3;31 pm..Intraoperatively uneventful..Pt then shifted to PNW. At around 8;30 pm patient was drowsy and strict vitals monitoring was done..Then at around 9pm Pt was semiconscious,her BP was 120/90,
- 18. • PULSE -138bt/min, and pt was immediately shifted to ICU For further managment.Despite all resuscitative measures patient was declared death at 10;40pm on 2/9/24....
- 19. • VITALS ATTHE TIME OF ADMISSION • O/E- P- /I- /C- /O- /D- • PR-92/min, • BP-140/90 mm Hg, • SPO2- 99% in RA • Chest - B/L clear • P/A- term size • P/V---os- 1.5cm • cs-soft ,short • membrane -present, SHOW PRESENT • station -high • pelvis - average
- 20. Patient has beenplanned for Em. LSCS and all necessary investigations has been carried out. LSCS was done and a live baby was delivered. Baby Note: Sex- BOY Weight-3.3KG Time-3;31PM Dt- 2/09/24
- 21. • Blood Investigation •Blood group -B positive. • Hemoglobin-10.6g/dl • Wbc -8.01 • Rbc-3.57 • Plt-187 • Creat- 0.6 • Urea-15
- 22. • Albumin-2.8 g/dl •Globulin-2.1g/dl • T.bil- 0.8mg/dl • Un.bil- 0.6mg/dl • Conj.bil- 0.2 • AST- 45 u/l • Alt-16u/l
- 23. ADMISSION TO INTERVENTIONINTERVAL: Immediate ADMISSION TO DEATH INTERVAL:09 HOURS 15 MINTS
- 24. DATE AND TIMEOF DEATH: 2/9/2024 AT 10;40PM CAUSE OF DEATH: SUDDEN CARDIORESPIRATORY ARREST ANTECEDENT CAUSE: GESTATIONAL HYPERTENSION
- 25.
- 26. PATIENT PARTICULARS : •Name- Rasmi Tissopi • Age- 29 yrs • C/O- Hemari Timung • Address- Jengkha , West Karbi Anglong • P.O & PS- Jengkha,West Karbi Anglong, Assam • Date of Admission-04/9/2024 • Time of Admission-12:47 AM
- 27. • BOOKED ORUNBOOKED CASE- Unbooked case REFERRAL - REFERRED FROM CIVIL HOSPITAL HOJAI • NO. & PLACE OF ANC- 1 ANC , Bakalia hospital
- 28. • Patient wasadmitted in O&G OPD in DMCH on 4/9/24 at 12:47 pm .She is diagnosed to be a case of Day 1 Puerperium with severe anemia with 1st degree PPH..All investigation was sent, 4 unit blood requisition given ,dual cannulation and fluid resuscitation and uterotonic started. Pt taken to labour room and P/S examination reveled B/L Vaginal wall tear with active bleeding, which was repaired. Mild vaginal bleeding was present due to poor uterine contraction..Exploration was planned with blood in hand and was perfomed with blood resuscitation, when patient went into shock and then she was shifted to icu where she detoriated and eventually expired at 6 PM on 4/9/24. CASE SUMMARY
- 29. DIAGNOSIS ON ADMISSION- •P1 at Day 1 puerperium with primary PPH with severe anemia.
- 30. • Vitals atthe time of admission • BP- 96/60 mmhg • Pulse-102 bpm • Chest - clear • P/A- ut poorly contracted • P/V- vaginal pack was present • Bleeding + • Laceration- seen
- 31. • Blood Investigation •Blood group -A positive. • Hemoglobin-5.1 • Wbc -31.51 • Rbc-1.92 • Plt-187 • Creat- 0.7 • Urea-23
- 32. • Albumin-1.9 g/dl •Globulin-1.9g/dl • T.bil- 0.9mg/dl • Un.bil- 0.6mg/dl • Conj.bil- 0.3 • AST- 83 u/l • Alt-74u/l
- 33. ADMISSION TO INTERVENTION INTERVAL: Immediate ADMISSIONTO DEATH INTERVAL:5hours 13 mints
- 34. DATE AND TIMEOF DEATH: 4/9/24 AT 6 PM CAUSE OF DEATH: Hemorrhagic shock with primary PPH (Atonic and traumatic)
- 35.