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J Obstet Gynaecol India. 2016 Oct;66(Suppl 1):60-6. doi: 10.1007/s13224-015-0762-1. Epub 2015 Sep 8.

Brought in Dead: An Avoidable Delay in Maternal Deaths.

Author information

1
Department of Obstetrics and Gynaecology, Gandhi Medical College, Bhopal, Madhya Pradesh 462001 India ; Department of Obstetrics and Gynaecology, Sultania Zanana Hospital, Near Thana Talliya, Station Road, Bhopal, Madhya Pradesh 462001 India.
2
Department of Obstetrics and Gynaecology, Gandhi Medical College, Bhopal, Madhya Pradesh 462001 India ; 416 Goyal Nagar, Near Jain Temple, Bengali Square, Indore, Madhya Pradesh 452018 India.

Abstract

PURPOSE:

Maternal brought in dead are the patient who dies in the need of adequate medical care. These deaths are often not analyzed sincerely as they are not institutional deaths. Our aim is to find out actual life threatening cause of delay leading to death.

METHOD:

Patients brought dead to casualty were seen by the doctors on duty in Department of Obstetrics and Gynaecology,Gandhi Medical College, Bhopal round the clock. Cause of death was analyzed by verbal autopsy of attendants and referral letter from the institute. In this analytical study a complete evaluation of brought deaths from January 2011 to Decmeber 2014 was done.

RESULTS:

A total of 64 brought in deaths were reported in this 4 year duration. Most common cause of death was postpartum hemorrhage (54.68 %) followed by hypertension (15.62 %) and the most common cause of delay was delay in getting adequate treatment (56.25 %).

CONCLUSION:

The brought in dead are the indicator of the three delays in getting health care. Challenges appear to be enormous to be tackled. Timely management proves to be critical in preventing maternal death. Thus it appears that community education about pregnancy and its complications, EmOC training at FRU and strict adherence to referral protocol may help us to reduce the brought dead burden.

KEYWORDS:

Brought in dead; EmOC; Maternal deaths; Referral protocol; Verbal autopsy

Conflict of interest statement

We have no financial relations with any organization. We have full control of all primary data and that we agree to allow the journal to review their data if requested. The authors declare that they have no conflict of interest. Ethics approval Manuscripts submitted for publication are based on retrospective data analysis as per ethics with the consent of using stored data from the hospital authority, which has therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. Details that might disclose the identity of the subjects under study are omitted.

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