Wa Health, Government Of Western Australia

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The analysis team wishes to thank the editors and the reviewers for their in-depth critiques and really useful suggestions. This has helped us to revise the paper, which now focuses on the root-cause evaluation, highlighting causes of poor quality of care resulting in maternal deaths. The modifications are described intimately within the ‘response to reviewers’ document. The adjustments close to journal’s requirement are described in the cover letter.

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This in-depth evaluate of information on 30 women who died on the referral hospital discovered that access to health services, availability of staff for ANC and availability of senior workers at the hospitals have been enough. It has been famous in other analysis that access to obstetricians and medical doctors to attend ladies arriving with postpartum haemorrhage and extreme pre-eclampsia is a major concern . However, within the current analysis virtually all of the deaths occurred regardless of access to sufficient human resources on the tertiary hospital.

Effective care at the referral hospitals and higher outcomes require detailed and higher info flow between hospitals. Women are arriving at the referral hospital without the necessary detailed details about their scientific situation and why they’ve been referred/transferred. This analysis discovered lower than optimal care for efficient administration of hypertension and pre-eclampsia/eclampsia.

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