{"id":1054,"date":"2015-05-18T13:11:09","date_gmt":"2015-05-18T13:11:09","guid":{"rendered":"https:\/\/blogs.bmj.com\/case-reports\/?p=1054"},"modified":"2015-05-18T13:11:09","modified_gmt":"2015-05-18T13:11:09","slug":"maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/case-reports\/2015\/05\/18\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\/","title":{"rendered":"Maternal mortality in the developing world – what circumstances lead to the death of this young woman?"},"content":{"rendered":"

By Midhun Mohan – Student Editor<\/strong><\/p>\n

Read this case about a 25-year-old anaemic woman who died from a massive atonic postpartum haemorrhage<\/a><\/p>\n

How and why did this happen?<\/p>\n

The case report states that on a national scale a culmination of three factors are responsible for the state of healthcare in India, especially in regard to the rural poor.<\/p>\n

    \n
  1. Poor handling of healthcare funds<\/li>\n
  2. Corruption at local and national levels<\/li>\n
  3. High levels of illiteracy in the poor, that prevent access to available healthcare and leads to a failure of women asserting their healthcare rights<\/li>\n<\/ol>\n

    On a local scale, obstetric care provided by local birth attendants with variable levels of training may be fall far below accepted standards.<\/p>\n

    The report states:<\/p>\n

    \u201cA 12-h period (one night) was wasted in futile attempts to deliver but also, multiple internal examinations led to development of Gram-negative septicaemia superimposed on existing anaemia, resulting in massive atonic PPH and death<\/i>\u201d<\/p>\n

    Could this have been avoided if the woman had been transferred to the hospital sooner?<\/p>\n

    In 2005, the Indian government started a cash incentive scheme for poor pregnant woman to promote institutional deliveries. The aim was to reduce maternal and neonatal mortality.<\/p>\n

    Read more about it here: http:\/\/nrhm.gov.in\/nrhm-components\/rmnch-a\/maternal-health\/janani-suraksha-yojana\/background.html<\/a><\/p>\n

    Despite this scheme increasing the number of institutional deliveries the maternal mortality has not decreased. Why? The reasons are likely to be multifactorial.<\/p>\n

    One study conducted in another rural district in India concluded that the following factors contributed to maternal deaths:<\/p>\n

      \n
    1. \u00a0\u00a0\u00a0\u00a0Absence of antenatal care despite high levels of anaemia<\/li>\n
    2. \u00a0\u00a0\u00a0\u00a0Absence of skilled birth attendants<\/li>\n
    3. \u00a0\u00a0\u00a0\u00a0Failure to carry out emergency obstetric care<\/li>\n
    4. \u00a0\u00a0\u00a0\u00a0Referrals that never resulted in treatment<\/li>\n<\/ol>\n

      This case report provides a useful insight into the state of obstetric medicine in rural India. Women from deprived nations all over the world suffer from the same sub-standard obstetric care. When a woman dies she leaves behind children who need care.<\/p>\n

      The statistics released recently by the LifeBox Foundation are staggering. They are as follows:<\/p>\n

        \n
      1. 1,000,000 BABIES. A million children a year could be saved by safer obstetric surgery<\/li>\n
      2. 5 BILLION IN DANGER. Around the world, billions of women, children, and families lack access to the most basic surgical care<\/li>\n
      3. 800 WOMEN A DAY. Preventable pregnancy-related causes including unsafe surgery kill hundreds of women daily<\/li>\n<\/ol>\n

        Click here to\u00a0link to learn more about the LifeBox Foundation<\/a><\/p>\n

        What are the causes of maternal mortality worldwide and what has been done to reduce this? What else needs to be done to really improve obstetric care?<\/p>\n

        This article is published under a CC-BY-NC<\/a> licence for permissions email bmj.permissions@bmj.com<\/a><\/em><\/p>\n

        <\/p>\n","protected":false},"excerpt":{"rendered":"

        By Midhun Mohan – Student Editor Read this case about a 25-year-old anaemic woman who died from a massive atonic postpartum haemorrhage How and why did this happen? The case report states that on a national scale a culmination of three factors are responsible for the state of healthcare in India, especially in regard to […]<\/p>\n

        Read More…<\/a><\/p>\n","protected":false},"author":206,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[263,4477],"tags":[],"class_list":["post-1054","post","type-post","status-publish","format-standard","hentry","category-global-health","category-student-editor"],"yoast_head":"\nMaternal mortality in the developing world - what circumstances lead to the death of this young woman? - BMJ Case Reports blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/case-reports\/2015\/05\/18\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Maternal mortality in the developing world - what circumstances lead to the death of this young woman? - BMJ Case Reports blog\" \/>\n<meta property=\"og:description\" content=\"By Midhun Mohan – Student Editor Read this case about a 25-year-old anaemic woman who died from a massive atonic postpartum haemorrhage How and why did this happen? The case report states that on a national scale a culmination of three factors are responsible for the state of healthcare in India, especially in regard to [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/case-reports\/2015\/05\/18\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\/\" \/>\n<meta property=\"og:site_name\" content=\"BMJ Case Reports blog\" \/>\n<meta property=\"article:published_time\" content=\"2015-05-18T13:11:09+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/2015\\\/05\\\/18\\\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/2015\\\/05\\\/18\\\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\\\/\"},\"author\":{\"name\":\"\",\"@id\":\"\"},\"headline\":\"Maternal mortality in the developing world – what circumstances lead to the death of this young woman?\",\"datePublished\":\"2015-05-18T13:11:09+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/2015\\\/05\\\/18\\\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\\\/\"},\"wordCount\":450,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/#organization\"},\"articleSection\":[\"Global Health\",\"Student editor\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/2015\\\/05\\\/18\\\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/2015\\\/05\\\/18\\\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/2015\\\/05\\\/18\\\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\\\/\",\"name\":\"Maternal mortality in the developing world - what circumstances lead to the death of this young woman? - BMJ Case Reports blog\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/#website\"},\"datePublished\":\"2015-05-18T13:11:09+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/2015\\\/05\\\/18\\\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/2015\\\/05\\\/18\\\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/2015\\\/05\\\/18\\\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Maternal mortality in the developing world – what circumstances lead to the death of this young woman?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/\",\"name\":\"BMJ Case Reports blog\",\"description\":\"The official BMJ Case Reports blog, a place to discuss wider medical progress and implications.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/#organization\",\"name\":\"BMJ Case Reports blog\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/files\\\/2017\\\/10\\\/blog-logo-case-reports.png\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/files\\\/2017\\\/10\\\/blog-logo-case-reports.png\",\"width\":224,\"height\":34,\"caption\":\"BMJ Case Reports blog\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/#\\\/schema\\\/logo\\\/image\\\/\"}},{\"@type\":\"Person\",\"@id\":\"\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/author\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Maternal mortality in the developing world - what circumstances lead to the death of this young woman? - BMJ Case Reports blog","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/case-reports\/2015\/05\/18\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\/","og_locale":"en_US","og_type":"article","og_title":"Maternal mortality in the developing world - what circumstances lead to the death of this young woman? - BMJ Case Reports blog","og_description":"By Midhun Mohan – Student Editor Read this case about a 25-year-old anaemic woman who died from a massive atonic postpartum haemorrhage How and why did this happen? The case report states that on a national scale a culmination of three factors are responsible for the state of healthcare in India, especially in regard to [...]Read More...","og_url":"https:\/\/blogs.bmj.com\/case-reports\/2015\/05\/18\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\/","og_site_name":"BMJ Case Reports blog","article_published_time":"2015-05-18T13:11:09+00:00","twitter_card":"summary_large_image","twitter_misc":{"Written by":"","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/case-reports\/2015\/05\/18\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/case-reports\/2015\/05\/18\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\/"},"author":{"name":"","@id":""},"headline":"Maternal mortality in the developing world – what circumstances lead to the death of this young woman?","datePublished":"2015-05-18T13:11:09+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/case-reports\/2015\/05\/18\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\/"},"wordCount":450,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/case-reports\/#organization"},"articleSection":["Global Health","Student editor"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/case-reports\/2015\/05\/18\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/case-reports\/2015\/05\/18\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\/","url":"https:\/\/blogs.bmj.com\/case-reports\/2015\/05\/18\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\/","name":"Maternal mortality in the developing world - what circumstances lead to the death of this young woman? - BMJ Case Reports blog","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/case-reports\/#website"},"datePublished":"2015-05-18T13:11:09+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/case-reports\/2015\/05\/18\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/case-reports\/2015\/05\/18\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/case-reports\/2015\/05\/18\/maternal-mortality-in-the-developing-world-what-circumstances-lead-to-the-death-of-this-young-woman\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/case-reports\/"},{"@type":"ListItem","position":2,"name":"Maternal mortality in the developing world – what circumstances lead to the death of this young woman?"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/case-reports\/#website","url":"https:\/\/blogs.bmj.com\/case-reports\/","name":"BMJ Case Reports blog","description":"The official BMJ Case Reports blog, a place to discuss wider medical progress and implications.","publisher":{"@id":"https:\/\/blogs.bmj.com\/case-reports\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/case-reports\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/case-reports\/#organization","name":"BMJ Case Reports blog","url":"https:\/\/blogs.bmj.com\/case-reports\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/case-reports\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/case-reports\/files\/2017\/10\/blog-logo-case-reports.png","contentUrl":"https:\/\/blogs.bmj.com\/case-reports\/files\/2017\/10\/blog-logo-case-reports.png","width":224,"height":34,"caption":"BMJ Case Reports blog"},"image":{"@id":"https:\/\/blogs.bmj.com\/case-reports\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"","url":"https:\/\/blogs.bmj.com\/case-reports\/author\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/case-reports\/wp-json\/wp\/v2\/posts\/1054","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/case-reports\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/case-reports\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/case-reports\/wp-json\/wp\/v2\/users\/206"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/case-reports\/wp-json\/wp\/v2\/comments?post=1054"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/case-reports\/wp-json\/wp\/v2\/posts\/1054\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/case-reports\/wp-json\/wp\/v2\/media?parent=1054"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/case-reports\/wp-json\/wp\/v2\/categories?post=1054"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/case-reports\/wp-json\/wp\/v2\/tags?post=1054"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}