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

Figure 9.

Figure 9

Back-and-forth referral due to lack of diagnostics. The mother had an unsafe abortion then went to H/C IV. The doctor reviewed and started her on antibiotics and intravenous (IV) fluids. She was referred to the district hospital for an abdominal ultrasound scan and complete blood count. Unfortunately, these investigations could not be done. She was again referred to a private medical centre for an ultrasound scan, which showed massive pus in the abdomen. The operation could not be done because there was no electricity. The family requested a referral to Lacor Hospital, where the operation was done. The uterus was removed and she was discharged alive after 5 days (MNM3). H/C, health centre; ICU, intensive care unit; MNM, maternal near-miss.