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