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Over 200,000 die from bleeding, with many giving birth in buses or bullock carts. Lack of health education restricts commonplace medical knowledge; thus, bystanders are unable to offer assistance. In addition, the casualty rate from self-administered abortions is roughly 75,000. Eclampsia, a condition possible pre-, during, and post-childbirth, is characterized by seizures due to high blood pressure, and its effects kill another 75,000 through damage to the brain and kidneys. Moreover, 100,000 die from sepsis, contracted through untreated infections of the uterus and remaining fragments of the placenta that poison the bloodstream. Also, female casualties due to labor obstructions stagger around the 400,000 range.[citation needed]