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In 16 out of 30 cases, insufficient data and expertise had been among the contributory components; and for 13 out of those sixteen there was failure to follow evidence-based best follow. For instance, a woman suffered from publish C-Section cardiac arrest regardless of being in any other case wholesome, thereby elevating questions about the quality of anaesthesia and pre-operative management. For one other, the care quality was questionable as information about administration of a cardiac left to right shunt was inadequately reported. Another lady was kept at the frontline hospital for fourteen …
