Nagpur: A 30-year-old woman, resident of Wathoda, delivered a full-term baby boy in an autorickshaw at the casualty gate of Government Medical College and Hospital (GMCH) on Sunday afternoon.
The woman’s cervix had dilated, and amniotic fluid started discharging, indicating that she was about to deliver even before she could reach the gynaecology department at GMCH. The department is about 500m from the casualty ward.
Doctors said that delaying the delivery further, and shifting the woman to the emergency ward wasn’t possible due to risks involved.
The woman’s relatives brought her in an autorickshaw after the onset of labour pain. The MSSC guards posted at the casualty rushed to medicine ward, which was the closest, and informed the paramedic staff about the woman in labour pain at the entrance gate.
Nurse Vandana Bhoyar, and male nurse Zulfi Ali immediately started helping the woman deliver the baby. On-duty chief medical officer (CMO) Dr Nikhil of casualty too joined them. The baby weighing 2.5 kg was examined by a paediatrician in the casualty. The mother and the baby were later shifted to the gynaecology department.
Dr Sharad Kuchewar, medical superintendent, said that it was a right decision to deliver the woman on the spot instead of shifting her to the ward. “The baby’s head had already come out. Moving the mother could meant putting the baby in risk. The paramedical staff and the CMO adopted aseptic procedure in delivering the child. As it is a normal delivery, not much expertise is required. Every doctor knows how to facilitate a normal delivery,” he said.
Dr Kuchewar added that the mother and child are doing well. “This doesn’t happen often but since the patient reported late, such a situation arose,” he said.
Doctors said that deliveries at primary health centres in rural are done by paramedics only.
GMCH doctors said that the baby could have suffered from hypoxia or aspirated amniotic fluid if not taken out in time. “It was a wise decision to not think about the location but to focus on the task of delivering the child. If the baby was kept in such position for long, it could have become life threatening,” they said.
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