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The High Court found no clinical negligence in the treatment of a woman who suffered from primary and secondary postpartum hemorrhage (PPH) due to retained products of conception (RPOC) after childbirth. The court determined that the defendant hospitals acted within the standard of care in their management of the patient's condition. The original decision to manage the third stage of labor actively, the assessment of blood loss, and the choice of conservative management over surgical intervention were all found to be reasonable and within the bounds of appropriate clinical judgment. The plaintiff's subsequent adjustment disorder was not attributed to any negligence on the part of the hospitals.
postpartum hemorrhage (PPH), retained products of conception (RPOC), Coombe Women and University Hospital, Midland Regional Hospital, Portlaoise, clinical negligence, standard of care, active management, third stage of labor, conservative management, surgical intervention, adjustment disorder, blood loss estimation, syntocinon, uterotonic agents, informed consent, clinical judgment.
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