title: Brought in Dead: An Avoidable Delay in Maternal Deaths.
abstract: OBJECTIVE
  Maternal brought in dead are the patient who dies in the need of adequate medical care. These deaths are often not analyzed sincerely as they are not institutional deaths. Our aim is to find out actual life threatening cause of delay leading to death.
  
  
  METHODS
  Patients brought dead to casualty were seen by the doctors on duty in Department of Obstetrics and Gynaecology,Gandhi Medical College, Bhopal round the clock. Cause of death was analyzed by verbal autopsy of attendants and referral letter from the institute. In this analytical study a complete evaluation of brought deaths from January 2011 to Decmeber 2014 was done.
  
  
  RESULTS
  A total of 64 brought in deaths were reported in this 4 year duration. Most common cause of death was postpartum hemorrhage (54.68 %) followed by hypertension (15.62 %) and the most common cause of delay was delay in getting adequate treatment (56.25 %).
  
  
  CONCLUSIONS
  The brought in dead are the indicator of the three delays in getting health care. Challenges appear to be enormous to be tackled. Timely management proves to be critical in preventing maternal death. Thus it appears that community education about pregnancy and its complications, EmOC training at FRU and strict adherence to referral protocol may help us to reduce the brought dead burden.
authors.affiliation: Department of Obstetrics and Gynaecology, Gandhi Medical College, Bhopal, Madhya Pradesh 462001 India ; Department of Obstetrics and Gynaecology, Sultania Zanana Hospital, Near Thana Talliya, Station Road, Bhopal, Madhya Pradesh 462001 India.
authors.forename: Aruna
authors.initials: A
authors.lastname: Kumar
authors.affiliation: Department of Obstetrics and Gynaecology, Gandhi Medical College, Bhopal, Madhya Pradesh 462001 India ; 416 Goyal Nagar, Near Jain Temple, Bengali Square, Indore, Madhya Pradesh 452018 India.
authors.forename: Neha
authors.identifier: 0000-0001-6432-4707
authors.initials: N
authors.lastname: Agrawal
keywords: Brought in dead; EmOC; Maternal deaths; Referral protocol; Verbal autopsy