Maternal death toll in Ballari hospital touches five after one more woman dies

Ballari government hospital authorities said that of seven women who had developed severe complications five of them have died. Doctors said that Sumaya died due to multi organ failure.

Published Dec 06, 2024 | 12:50 AMUpdated Dec 06, 2024 | 12:35 PM

Between 9-11 November, Ballari District Hospital saw an unexpected rise in maternal deaths during caesarean operations.

One more woman died at the Karnataka government-run Ballari hospital on Thursday, 5 December, taking the number of maternal deaths in a month to five.

Kolmi Sumaiah, a resident of Kudligi was admitted to the hospital on 11 November, and she underwent a caesarian section the same day. However, she developed complications and was shifted to the Ballari Medical College and Research Centre (BMCRC), where she was in the ICU. She was also undergoing dialysis.

BMCRC Director T Gangadhara Gouda told the media that the patient had a multi-organ failure and died around 8 pm on Thursday despite efforts by doctors to save her.

Related: Karnataka asks DCGI to probe West Bengal pharma firm

Five maternal deaths

According to the hospital, the cause of her death was cardirespiratry arrest with endotoxic shock.

“Patient had persistent Hypotension, started on 2 Inotropes at 11:00 am on 5/12/24 and patient was reintubated in view of hemodynamic instability and monitored with urine output 200ml over 24 hrs,” it said in a medical bulletin.

“On 5/12/24 patient had persistant hypotension with double inotropes and at 7.45 pm patient had cardiac arrest, CPR given (3 cycles) then at 8.10 pm patient succumbed to death in spite of all efforts,” it added.

Health Minister Dinesh Gundu Rao had earlier told the media that between 9 and 11 November, the Ballari district hospital saw an unexpected rise in maternal deaths during caesarean operations. Out of 34 procedures conducted, seven patients suffered severe complications and four women died.

With Sumayya’s death, the number of new mothers who died at the Ballari district hospital has increased to five. According to the hospital authorities, two of them died after being discharged.

Related: Is IV fluid alone responsible for postpartum deaths?

IV fluid to be blamed?

While the exact cause of death is still being investigated, the state health authorities suspect that the condition of these women deteriorated after administering them with the Ringer Lactate solution IV fluid, which is supplied to the government hospitals by a West Bengal-based company, Paschim Banga Pharmaceutical Ltd,

While the link to Ringer Lactate is unconfirmed, the use of the solution, sourced from Paschim Banga Pharmaceutical Ltd, has been suspended and is being tested.

The Karnataka government has also sought clarification from the Central Drugs Standard Control Organisation (CDSCO) following reports linking multiple deaths.

Health Department Principal Secretary Harsha Gupta has written to the Drugs Controller General of India, Rajeev Singh Raghuvanshi, on the issue.

Investigations revealed bacterial and fungal contaminants in the IV solutions administered to the women. Of the 192 batches supplied by Paschim Banga, 22 were deemed substandard by the state drug control department, prompting the suspension of their use.

However, these batches had previously cleared quality tests conducted by the Central Drug Laboratory, leading to a regulatory discrepancy.

The Health Department has emphasised that the Central Drug Lab’s approval is legally binding under tender regulations. Samples from the flagged batches have been sent for re-testing at the central lab in West Bengal. The state is expecting the results on 9 December.

Meanwhile, as a precautionary measure, the state has blacklisted the batches and issued directives to halt their use in all hospitals.

(Edited by Majnu Babu).

Follow us