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ROME — The condition of an Italian woman at the center of a right-to-die case worsened after she suffered a massive hemorrhage, doctors said Saturday.

Eluana Englaro has been in a vegetative state for 16 years, and her father has led a protracted court battle to disconnect her feeding tube, insisting it was her wish.

This summer, a Milan court granted his request, setting off a political storm in this overwhelmingly Roman Catholic country.

Italy does not allow euthanasia, but patients have a right to refuse treatment.

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