The findings. “of Vancouver forensic pathologist Dr. L.H. Gray, have led to the conclusion | ‘that the death of 19-year-old Myrna Lorri Anne George on Sept. 14, 1991, was caused. by multiple organ failure ' from massive hemor- rhaging due to a lacer- ation of the. uterus \G FROM DEATH - AC coroner ’s report details Myrna George’ S last "hours and recommends reviews. _ of the medical care she got ‘Hone t that could result from the abortion. 7 In his summary of the medi- . cal care Myrna. George received, ‘Lynch riotes the following i in his , : report: “It is ; my opinion that the. "garding. the seport of Dr. . Chor (the anesthetist) that. Dr, Boyd felt we would continue fluid man: _ agement and that he would ‘reassess the patient i in the morn- ing, Dr. Boyd states in his dic- _tated report, "We dis- ~ cussed the case on the _ phone and elected to -,, wateh to see if another _ following a therapeutic abortion at Mills Mem- orial Hospital by Dr. : Gordon Boyd. As a result, Terrace | ‘coroner Jim Lynch offers the following recommendations: ~ : That the College of . Physicians and Sur- geons conduct an in- depth review of the ‘entire case. eThat the Chief of . “lt is my opinion that the most _ significant. factor in the outcome ==. «8 was the delay in the recognition of © post-operative hemorrhage due to the uterine rupture. The | responsibility for the recognition of hemorrhage in this period rests - with the gynecologist performing the operation..." | two. units of blood . would i improve the situ- ation,’, | 7 “One must note _ that. Dr. Boyd has a different recollection of _ _.» some of the events than -,, those set out in the _ hospital records.” s + s.,.,.,Khe facts in this cage, as outlined in. _.,.. Lyneh’s report, are as, aa follows: de Myrna George was. Medical Staff at Mills Memorial Hospital be. requested to review the case with the medical staff involved in an ‘attempt to - emphasize the appropriate moni- — toring and treatment of post-oper- ~ ative shock. eAnd that Minister of. Health Elizabeth | Cull direct that. all ‘prospective patients for thera- peutic abortions be apprised, in writing, of all possible complica- _= Terrace coroner James Lyne ~ most’ significant factor in the outcome was the delay in the recognition: rupture. The responsibility for the _ recognition of hemorrhage in this period rests with the gynaecolo- gist performing-the operation. In conversation with Dr. Boyd re- . 2- - Terrace Review — April 24, 1992 of post-operative . hemorrhage due to the: uterine | "> admitted to Mills Mem- .,\-‘ orial Hospital on Sept.. ’ 11, 1991. The abortion procedure began at . 12: BB p. m. During the procedure '. the: gestation period was deter- ’ mined to be 14 weeks. Following the procedure, blood loss ' ‘was described as excessive". In the recovery room, George was described as having cramps. About an hour after the comple- tion of the procedure, she was.