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Exsanguinated uterus after massive atonic postpartum haemorrhage
Department of Obstetrics and Gynaecology, RD Gardi Medical College, Ujjain, Madhya Pradesh, India.
Department of Obstetrics and Gynaecology, RD Gardi Medical College, Ujjain, Madhya Pradesh, India.
Department of Obstetrics and Gynaecology, RD Gardi Medical College, Ujjain, Madhya Pradesh, India.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
2013 (English)In: BMJ case reports, ISSN 1757-790XArticle in journal (Refereed) Published
Abstract [en]

This article addresses issues related to pregnancy anaemia and late referral by a village birth attendant in resource poor setting in a central state of India. A young anaemic woman had labour onset at her village, a birth attendant tried to deliver her but failed. When she came to our hospital, had established septicaemia and absolutely non-reassurable uterine tone leading to intractable atonic postpartum haemorrhage. She died after 5 days because of coagulopathy and multiorgan failure. Huge budgets are being spent for the promotion of institutional deliveries but still the maternal mortality ratio has not reduced. The epidemiology of childbirth, social awareness for safe labour and administrative lethargy towards implementation of government programmes have not changed. The tertiary care-blood and components-multidisciplinary approach could not prevent the death of an anaemic woman. Unless there is a grassroot level change in the healthcare delivery system at the village level, the scenario might not change.

Place, publisher, year, edition, pages
2013.
National Category
Public Health, Global Health, Social Medicine and Epidemiology Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:uu:diva-232808DOI: 10.1136/bcr-2013-009371PubMedID: 23853190OAI: oai:DiVA.org:uu-232808DiVA: diva2:749860
Available from: 2014-09-25 Created: 2014-09-25 Last updated: 2014-09-30Bibliographically approved

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Pathak, Ashish

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