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. 2021 Mar 22;11(3):e042909. doi: 10.1136/bmjopen-2020-042909

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© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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Non-functional facility and seeking care from the TBA. The mother had labour pain for 3 hours then went to TBA because the nearby H/C III had no midwife. The TBA kept her for 2 days until she failed to deliver. She was referred to the district hospital but the doctor was not available over the weekend, prompting referral to Lacor Hospital. She had a ruptured uterus and died of septic shock 4 days after the operation (MD4). H/C, health centre; ICU, intensive care unit; MD, maternal death; TBA, traditional birth attendant.