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Modeling Ascending Vaginal Infection, Preterm Birth, and Neonatal Morbidity in Mice
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Brought in Dead: An Avoidable Delay in Maternal Deaths.

Aruna Kumar1, Neha Agrawal2

  • 1Department 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.

Journal of Obstetrics and Gynaecology of India
|September 22, 2016
PubMed
Summary
This summary is machine-generated.

Maternal deaths occurring before reaching medical care are often due to delays in treatment. Postpartum hemorrhage and hypertension were leading causes, highlighting critical gaps in timely healthcare access for pregnant women.

Keywords:
Brought in deadEmOCMaternal deathsReferral protocolVerbal autopsy

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Emergency Medicine

Background:

  • Maternal deaths occurring outside healthcare facilities (brought-in-dead) are under-analyzed.
  • These deaths often signify failures in accessing timely and adequate medical care.
  • Understanding the causes of delay is crucial for improving maternal healthcare outcomes.

Purpose of the Study:

  • To investigate the primary life-threatening causes of delay leading to maternal brought-in-dead cases.
  • To analyze the contributing factors and patterns of maternal mortality outside of institutional settings.

Main Methods:

  • An analytical study evaluated 64 maternal brought-in-dead cases over four years (2011-2014).
  • Data collection involved verbal autopsy of attendants and review of referral letters.
  • Cases were managed by on-duty Obstetrics and Gynecology doctors at Gandhi Medical College, Bhopal.

Main Results:

  • Postpartum hemorrhage (54.68%) was the most frequent cause of death, followed by hypertension (15.62%).
  • The primary reason for delay was inadequate treatment access (56.25%).
  • A significant burden of maternal mortality occurred due to delays in healthcare seeking and provision.

Conclusions:

  • Brought-in-dead cases highlight critical "three delays" in maternal healthcare access.
  • Addressing these delays requires community education on pregnancy complications and enhanced EmOC training.
  • Strict adherence to referral protocols is essential to reduce preventable maternal deaths.