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Discipline

: Obstetrics & Gynaecology

Sub Discipline

: Obstetrics And Gynaecology

Document Title

: Obstetrics Maternal Mortality Note

Date And Time

Unknown

Place

District Of Death

State Of Death

Cause

Timing Of Death

Comments

Provisional Cause Of Death

Postpartum hemorrhage

HPT disorder of pregnancy

Obstetric embolism

Associate medical condition

HIV associated deaths

Heart disease in pregnancy

Sepsis

Obstetrics trauma

Others, specify

Post-Mortem

YesNoLimitedRefuse

Findings

Category Of Death

Direct

Status

Preventable

SIGNATURES

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