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Pyramidal referrals also contributed, as many women were initially referred to hospitals the place their condition couldn’t be effectively managed. While generic quality enchancment measures, notably training and monitoring for rigorous software of medical protocols will assist enhance the state of affairs, the districts and hospitals must develop capacity to evaluate their local state of affairs. Unless native organisational components, employees information and skill, blood and blood product availability, and local reasons for delays in providing care are identified, it may not be possible to effectively scale back the antagonistic pregnancy outcomes. An necessary limitation was we didn’t …