Mrs Kadam's tragic story due to difficulty in sourcing A negative blood in time.
It was 25th December, a holiday and a day of joy for most; but a harbinger of heart breaking tragedy for the Kadam (name changed) family. Mrs Kadam, the mother of a two year old, had delivered her second child in the morning in one of the many small nursing homes that dote Mumbai’s landscape. The delivery was a difficult and prolonged one and she went into ‘postpartum hemorrhage’, a life threatening condition in which the uterus bleeds uncontrollably following delivery as it fails to contract. The nursing home tried all possible means at its disposal. However it was not equipped for emergency care and hence when all measures failed, transferred Mrs Kadam to a big municipal hospital at around 12 pm in the afternoon.
It was a trying day at the tertiary centre with a heavy patient load. Mrs Kadam, however still got instantaneous attention and was shifted immediately to the obstetric ward. By then however her condition had deteriorated and she was sinking into disseminated intravascular coagulation, the dreaded DIC, in which all the clotting factors in the blood are used up trying to stem the bleeding. The bleeding hence became torrential and she was sinking. Her blood sample was immediately sent to the hospital blood bank for typing and cross matching and for sourcing the 5-6 blood bags and fresh frozen plasma she needed.
However the houseman came running back to inform that Mrs Kadam had A negative blood type and the blood bank had only one bottle of the same. The residents started a frantic search for blood of A negative type in other blood banks. They had to call up every blood bank individually and ask how many blood bottles of A negative they had at that current moment. The residents spent over half an hour calling different blood banks before they could track down where A negative was available as it is a rare blood group. By the time, the relatives could run to the blood bank to get the blood, Mrs Kadam had breathed her last.
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