Rajasthan post-delivery crisis: Drug quality under scanner as women face kidney failure, infections

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Rajasthan post-delivery crisis: Drug quality under scanner as women face kidney failure, infections

Synopsis

What began as isolated tragedies in Kota and Bikaner has now reached Jodhpur — eight women battling infections, kidney issues, and bleeding after C-sections at a government hospital. With five dead in Kota, two in Bikaner, and survivors on dialysis, Rajasthan's post-delivery crisis is forcing a reckoning over medicines bought at 80% discounts and a procurement system that critics say has put cost above lives.

Key Takeaways

Eight women developed severe post-surgical complications at Paota District Hospital, Jodhpur , including infections, kidney issues, and uncontrolled bleeding.
Two patients are in intensive care; one was referred to AIIMS Jodhpur as her condition deteriorated.
The Jodhpur cases follow five deaths in Kota and two deaths in Bikaner under similar post-delivery circumstances.
Opposition leader Tika Ram Jully alleged medicines are procured at discounts of up to 80 per cent , raising quality concerns.
The gynaecology operation theatre at Paota Hospital has been shut down and surgeries suspended pending lab results.
Principal Secretary Gayatri Rathore confirmed some medicines have been suspended as a precautionary measure .

Eight women who underwent caesarean sections at Paota District Hospital in Jodhpur have developed severe post-surgical complications — including infections, uncontrolled bleeding, falling blood pressure, and kidney-related issues — reigniting a statewide alarm over the quality of medicines supplied to Rajasthan's government hospitals. The cases, which emerged in June 2025, are the latest in a series of similar incidents that have already claimed lives in Kota and Bikaner.

A Pattern Across Three Cities

The Jodhpur cases follow a far more devastating episode in Kota, where five women died following post-delivery complications linked to kidney failure. Several survivors from that incident continue to undergo regular dialysis, their health permanently altered after what should have been routine childbirth. In Bikaner, two women died under similar circumstances, compounding fears about systemic failures in government healthcare delivery.

In Jodhpur, two women have been shifted to intensive care, and one was referred to AIIMS Jodhpur as her condition deteriorated. The gynaecology operation theatre at Paota District Hospital has been shut down and all surgeries suspended pending laboratory results.

Drug Quality at the Centre of Scrutiny

Investigators have collected blood, urine, medicine, injection, and intravenous fluid samples for testing. Dr B.S. Jodha, Principal of Dr SN Medical College, confirmed that several women developed unusually high body temperatures after surgeries conducted on Saturday. 'Two patients developed serious complications. One experienced significant blood pressure issues, while another suffered excessive bleeding during surgery. All affected women are under continuous medical observation,' he said.

Leader of Opposition Tika Ram Jully has directly questioned the state's medicine procurement system, alleging that an excessive focus on cost-cutting may have compromised quality. 'Medicines are being purchased at discounts of up to 80 per cent. When procurement is driven solely by the lowest price, questions naturally arise about quality. Yet nobody in the system appears willing to examine this seriously,' he said. Jully demanded an independent investigation into the entire supply chain — covering procurement, approval, testing, and distribution.

'This cannot be dismissed as routine negligence. If lives are lost due to substandard medicines or failures in quality control, those responsible must face strict legal action,' he added.

A senior official, speaking on condition of anonymity, acknowledged that substandard drugs have emerged as a significant challenge. 'Many drug companies have emerged in the last few years; however, the quality of these drugs has fallen. Now, it's quite a difficult task to check the quality of so many companies. Meanwhile, this number is increasing as there is a huge profit margin in the drug industry,' the official said.

Government Defends Record, Suspends Some Medicines

Health Minister Gajendra Singh Khimsar cautioned against conflating the three incidents, saying each case has its own circumstances and is being investigated independently. He noted that government hospitals frequently receive complicated referral cases and cited a delivery success rate of 99.99 per cent across state facilities.

Gayatri Rathore, Principal Secretary of the Medical and Health Department, arrived in Jodhpur late Monday night on the Chief Minister's instructions to assess the situation. 'We have suspended some medicines as a precautionary step at this point. Special emphasis is being placed on ensuring 100 per cent compliance with standard medical protocols (SOPs) across all hospitals,' she said. She added that a review would be conducted with doctors covering safe storage of medicines, nursing duties, post-operative care, and monitoring of critically ill patients.

Jodhpur District Collector Alok Ranjan visited Paota District Hospital and directed officials to ensure no negligence in patient care.

Political Pressure Mounts

Former Chief Minister Ashok Gehlot said he personally met families affected by the Kota tragedy. 'The first incident occurred in Kota, where five women lost their lives. I met the affected women personally. Many have suffered kidney failure. Some now require dialysis three times a week, others twice. Imagine the pain of a mother who has just delivered a child and is told she may need lifelong dialysis or even a kidney transplant,' Gehlot said.

Referring to the Bikaner and Jodhpur cases, he questioned how such incidents could continue despite repeated warnings. 'The government still appears asleep. Families are terrified. Husbands and brothers asked me what would happen after these women are discharged. Who will care for them if complications continue? What guarantee does the government offer?' he said.

What Happens Next

Laboratory results from the samples collected at Paota District Hospital are awaited, and the gynaecology operation theatre will remain closed until those reports are received. Officials have maintained that no evidence of staff negligence has emerged in the preliminary inquiry, though investigations remain ongoing. The suspension of certain medicines and the closure of the operation theatre have deepened public anxiety, even as families outside hospital wards wait for answers about the mothers who entered government facilities carrying hope and emerged facing organ failure and uncertainty.

Point of View

Seven deaths, and dozens of women on dialysis — and the Rajasthan government's primary response has been to insist each incident is unrelated. That defence is wearing thin. When medicines are procured at 80% discounts and a senior official openly concedes that quality checks cannot keep pace with the proliferating number of drug suppliers, the systemic failure is hiding in plain sight. The real accountability question is not whether Kota, Bikaner, and Jodhpur are 'the same case' — it is whether a procurement architecture that prioritises the lowest bid over verifiable quality standards is structurally incompatible with safe maternal care. Until the lab results are published and the supply chain is audited end-to-end, the suspension of a few medicines is optics, not a solution.
NationPress
23 Jun 2026

Frequently Asked Questions

What happened at Paota District Hospital in Jodhpur?
Eight women who underwent caesarean sections at Paota District Hospital in Jodhpur developed severe complications including infections, uncontrolled bleeding, falling blood pressure, and kidney-related issues. Two were shifted to intensive care and one was referred to AIIMS Jodhpur. The gynaecology operation theatre has been shut and surgeries suspended pending laboratory results.
How many women have died in Rajasthan's post-delivery complications crisis?
At least seven women have died across three cities — five in Kota and two in Bikaner — following post-delivery complications linked to kidney failure and infections. Several survivors from the Kota incident continue to require regular dialysis. The Jodhpur cases have added eight more critically ill patients to this tally.
Are substandard medicines responsible for the complications?
Investigations are ongoing and no definitive cause has been established. Blood, urine, medicine, injection, and IV fluid samples from Paota Hospital have been sent for laboratory testing. Opposition leaders allege that medicines procured at discounts of up to 80 per cent may be compromised in quality, while a senior official acknowledged that quality checks struggle to keep pace with the growing number of drug suppliers.
What action has the Rajasthan government taken so far?
The state government has suspended some medicines as a precautionary measure, shut the gynaecology operation theatre at Paota Hospital, and dispatched Principal Secretary Gayatri Rathore to Jodhpur to inspect arrangements. Health Minister Gajendra Singh Khimsar has said each incident is being investigated independently and that government hospitals maintain a 99.99 per cent delivery success rate.
Who is politically accountable for the crisis?
Leader of Opposition Tika Ram Jully has demanded an independent investigation into the medicine procurement supply chain, alleging cost-cutting compromised quality. Former Chief Minister Ashok Gehlot, who met affected families in Kota, has accused the current government of inaction despite repeated warnings across multiple cities.
Nation Press
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