Jodhpur maternal deaths expose Rajasthan's obstetric care gaps despite state drive
Synopsis
Key Takeaways
Two women died following childbirth in Jodhpur, Rajasthan, within days of the state government completing a five-day statewide maternal health inspection campaign, raising pointed questions about the effectiveness of emergency obstetric care on the ground. The deaths, reported on Monday, 21 July, follow earlier maternal fatalities in Kota, Bikaner, and Banswara, intensifying scrutiny of the state's referral system.
The Two Cases
Samu underwent a normal delivery at Tinwari Hospital on 24 June and gave birth to a baby girl. Severe postpartum bleeding could not be controlled, prompting doctors to refer her first to Umaid Hospital and subsequently to Mahatma Gandhi Hospital in Jodhpur, where an emergency hysterectomy was performed. Despite receiving six units of blood, 14 units of plasma, and 10 units of cryoprecipitate, along with dialysis and ventilator support, she succumbed to hypovolemic shock, kidney failure, and multi-organ complications late on Sunday.
Dimple was admitted to Mathuradas Mathur Hospital on 30 June — the day she delivered — and remained under treatment for nearly 20 days. Her condition deteriorated suddenly on 19 July and she died that night. A post-mortem was conducted on 20 July.
Wider Complications in Jodhpur
Hospital officials disclosed that 16 women who recently gave birth have developed serious health complications in Jodhpur over the past month, with most having undergone Caesarean deliveries. Among them is Dhapu, who allegedly suffered complications after receiving an incompatible blood transfusion at Umaid Hospital and remains under treatment. Currently, five women are admitted to Umaid Hospital and two others, including Dhapu, are at Mahatma Gandhi Hospital.
The State's Inspection Drive — and Its Limits
The deaths occurred just days after Rajasthan completed a five-day intensive inspection campaign (15–19 July) under the Medical and Health Department. According to officials, the drive reviewed medical records of 3,56,783 pregnant women, specially monitored 37,558 high-risk pregnancies, and inspected 8,414 health institutions for medicine availability, equipment functionality, and hygiene. During 3,062 Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) sessions on 18 July, 1,05,629 pregnant women received specialist antenatal care. Blood tests were conducted for 98,247 women, while 12,173 received iron sucrose therapy and 9,284 were administered FCM injections for severe anaemia. A further 16,634 pregnant women received Mother Vouchers for free sonography.
Notably, the scale of the monitoring exercise makes the subsequent deaths in Jodhpur all the more difficult for the administration to explain — particularly the case of Samu, whose postpartum haemorrhage was not contained despite multiple referrals across three hospitals.
Government Response
Principal Government Secretary Gayatri Rathore announced that every identified high-risk pregnant woman will now be monitored by the concerned Auxiliary Nurse Midwife (ANM) every third day, with deficiencies found during inspections addressed immediately. Chief Secretary V. Srinivas chaired a high-level meeting at Swasthya Bhawan, directing officials to strengthen the referral management system — particularly in rural areas — and ensure timely availability of 104 and 108 ambulances for emergency referrals, advance intimation to referral hospitals before patient transfer, and adequate stocks of blood, medicines, and emergency resources at government hospitals. Officials confirmed that name-wise mapping of every high-risk pregnant woman has been completed, with each case linked to the concerned ANM for regular follow-up.
What Health Experts Say
Health experts point out that postpartum haemorrhage remains one of the leading causes of maternal mortality globally, making timely referral, availability of blood products, and rapid intervention critical to survival. The pattern emerging from Jodhpur — multiple referrals, delayed intervention, and a reported case of incompatible blood transfusion — suggests systemic gaps that monitoring campaigns alone cannot address. The latest incidents are likely to sharpen the debate over whether Rajasthan's maternal healthcare reforms are translating into outcomes at the facility level, even as the government highlights the breadth of its antenatal outreach.