Maternal Death Classification

Option List:
The following scenarios relate to classification of Maternal Death
Pick the option that best answers the task in each scenario from the option list.
Each option can be used once, more than once or not at all.
A. Direct death.
B. Indirect death.
C. Early maternal death.
D. Late maternal death.
E. Extra-late death.
F. Fortuitous death.
G. Coincidental death.
H. Accidental death.
I. Murder.
J. Not a maternal death.
K. None of the above.

1. A 23 year old woman presented to A&E  diagnosis of a ruptured ectopic pregnancy with hypovolemic shock at 10 weeks’ gestation. Resuscitation was not successful.

2. An obese primigravida at 10  weeks was admitted with abdominal pain. No cause was found and she was discharged. This happened several times. On her last re-admission, she was seen by a consultant and diagnosis of ruptured appendix, emergency appendicectomy was done but she died of ARDS and sepsis.

3. A  26 year old woman is known case of bipolar disorder. She dies from suicide at 10 weeks’ gestation.

4. A  40 year old woman  is 36 weeks’ pregnant. She has a past history of coronary artery disease for last 8 years. She dies of a coronary thrombosis

5. A woman has gestational trophoblastic disease, develops choriocarcinomas and dies from it 24months after the GTD was diagnosed and the uterus evacuated. What kind of death is it?

6. A woman develops puerperal psychosis from which she makes a poor recovery. She kills herself, when the baby is 6 months old. What kind of death is it?