Fig. 3

Late referrals to appropriate facilities. She had post-partum eclampsia. She had a fit and lost consciousness for approximately a minute. Her mother quickly inserted a spoon in her mouth and took her to the nearby health centre for help. On arriving she had another fit. The medical assistant in charge gave her a normal saline infusion without checking her blood pressure: this led to another fit. Her mother took the infusion off and decided to take her daughter to Renk hospital. On their way to the market on the same donkey-driven cart that took them to the health centre, another fit occurred. Luckily they found a pickup truck and could afford to rent it. On the way the pregnant woman experienced two fits. They arrived at Renk hospital four hours later. Unfortunately, after two hours in the hospital the pregnant woman died in her mother’s arms, despite the doctor’s efforts. (6JMD)