Dr. Ajit Jangbahadur (General Surgery) needs a second opinion on this medical case.
A 24 yr lady presented with twin pregnancy associated with Jaundice and lower abdominal pain for 10 days LFT was Deranged with low platelet and raised PT & INR Obstetrical USG Twin Pregnancy term size liquor poor Bradycardia Lscs was done Two live male babies were delivered weighing 3.25 kg and 2.75 kg Patient developed severe PPH with a blood loss of approx 2.5 Ltrs Treated conservatively and controlled Post Op developed MOD involving Liver,CV, Kidney metabolic acidosis and deteriotion in the level of consciousness she was put on ventilator and inotropic supports but could not be revived.Developed Cardiac arrest 30 hrs after CS and was declared after CPR of half hour we would like to have a discussion on her Primary cause of Death
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