Table 3 Maternal deaths occurred due to consequences of bleeding

01

During delivery family members called village doctor and traditional birth attendant. Delivery conducted after 17 h of labour pain. After delivery placenta was retained and bleeding started. Patient referred to district hospital. Mother died just after arrive at hospital.

Mother didn’t receive any ANC and family didn’t prepare any birth planning.

Each expectant mother should receive regular ANC, prepare a birth planning and ensure delivery at a health facility.

02

The mother delivered a live birth by traditional birth attendant but the placenta was not removed and started bleeding. Family called village doctor and he gave some injections. After a while he referred the patient to the facility, but the patient died before arrival at hospital.

Family delayed in decision making and didn’t baby not delivered at health facility.

Each mother needs to deliver baby at health facility by trained provider.

03

The mother delivered a live birth by traditional birth attendant, profuse bleeding just after delivery. Family called village doctor and he gave some saline and injections. Life was lost within 30 min after treatment initiated at home.

Didn’t have birth planning and baby delivered by untrained birth attendant at home.

Each mother needs to deliver their baby at health facility by trained provider and prepare birth planning.

04

When labour pain started, family members called village doctor and a traditional birth attendant. Profuse bleeding started just after delivery. It took 4 h at home to take the decision to take the patient to the health facility. The mother died just after 30 min of arrival at hospital.

Family didn’t take decision at right time and there was a lack of transport to carry the patient.

Prepare birth planning and ensure health facility delivery. Make the community more aware about maternal danger signs.

05

The mother delivered a live birth by traditional birth attendant at home but placenta retained and started bleeding, TBA tried for two to three hours but the mother died on the way towards health facility.

Family delayed their decision making for seven hours.

Mother should receive regular ANC, prepare birth planning and ensure health facility delivery.

06

The mother delivered a live birth by mother in law and sister in law at home. Placenta was retained and bleeding started. Relatives failed to manage the bleeding, called the village doctor but the patient died at home without any treatment

Family made mistake of trying to deliver at home and delayed for hours the decision to seek help.

Mother should receive regular ANC, prepare a birth planning and ensure facility delivery. More community awareness of maternal complications.

07

Traditional birth attendant delivered baby at home, bleeding started just after delivery. Mother become unconscious after some time and TBA couldn’t manage complications. It was dark night and no vehicle was available to transport the patient to the health facility. Mother died at home.

Family delayed making the decision and there was a lack of transport to carry the patient at night.

Mother should receive regular ANC, prepare a Birth planning and ensure health facility delivery.

08

The mother delivered a live birth by traditional birth attendant at home in presence of village doctor but bleeding was profuse after delivery. Family unable to carry patient at right time and due to the lack of vehicle at night it took four hours to bring the patient to the health facility.

Family delayed making the decision and there was a lack of transport to carry the patient at night.

Mother should receive regular ANC, prepare birth planning and ensure facility delivery

09

The mother delivered a live birth by traditional birth attendant at home. After 9 days she developed convulsion with bleeding. Mother admitted to hospital and treated, the family took the mother back to a village doctor’s home. Mother died at village doctor’s home

Family made wrong decisions and were not aware of maternal complications.

Mother should receive regular ANC, prepare birth planning and ensure facility delivery.

10

Mother delivered a baby by an untrained birth attendant at home and severe bleeding started after delivery due to retain placenta.

Mother delivered a baby by an untrained birth attendant at home and severe bleeding started after delivery due to retain placenta.

Each mother should receive regular ANC, prepare birth planning and ensure facility delivery.

11

Mother didn’t seek treatment due to lack of enough money. The family also had misconception of hospital treatment. Bleeding started after delivery of a still birth and mother died at home without any treatment.

Mother not treated at health facility and didn’t receive regular ANC

Each mother should receive regular ANC, prepare birth planning and ensure facility delivery.

12

Mother delivered a live birth by traditional birth attendant at home after a prolonged labour, bleeding started just after delivery. Family was not prepared to carry the patient to health facility due to lack of vehicle and money.

Lack of birth planning and delivery conducted at home.

Each mother should receive regular ANC, prepare birth planning and ensure facility delivery.