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Skills of the health workers. The mother experienced labour pain for 2 days before going to the health centre. The midwife received her and gave her a bed without proper assessment. After 3 days of active contractions and exhaustion, the attendants requested a referral to Lacor Hospital. She arrived at Lacor Hospital with a ruptured uterus and was discharged with a vesicovaginal fistula (MNM2). MNM, maternal near-miss.
