Indian woman in UK forced to carry dead fetus in womb for two days

October 13, 2013

Indian_womanChennai, Oct 13: An Indian woman in the UK was forced to carry a dead fetus in her womb for two days after doctors at the hospital ignored signs of its death and sent her back home.

Niranjana Kumaresan, a 33-year-old woman hailing from Chennai, filed a complaint with UK's National Health Service (NHS) alleging that doctors and staff at Barnet and Chase Farm hospital in north London ignored her plea for help even after she repeatedly told them she had stopped feeling the baby's movement and doctors themselves confirmed the baby's heart beats were not detected.

"I first felt the baby had become still on September 18, three days after my due date. The previous day I felt my water had broken and reported to the hospital with intense pain. The midwife examined the baby's heart and felt its head position before sending me back home," Niranjana said over phone from their house in Middlesex.

Doctors say considering Niranjana's fetus was in oblique position and she underwent a caesarean for her first child, the delay risked not just the baby's life, but the mother's as well. "When a patient with history of C-section with oblique transverse lie comes with pain, show and leak, an emergency C-section should be done to save the baby and the mother," said noted obstetrician-gynaecologist Dr Kamala Selvaraj.

When Niranjana reported she couldn't feel the baby's movement, doctors allegedly tried to allay her fears saying it was because of the fever she had overnight. "She was advised to take a paracetamol without any examination," said Niranjana's husband Karthikeyan Kumaresan, a software engineer.

Twelve hours later the couple called for the antenatal team which found traces of blood in her urine. "We were moved to a ward, but Niranjana wasn't examined until three hours later," said Karthikeyan, who along with Niranjana moved to the UK from Chennai six years ago.

The midwife who came to examine Niranjana couldn't detect the baby's heart beat with the hospital's mobile scan and the couple were asked to return the next morning. "We were so hassled and upset by then. They so casually asked us to return the next day even after realising the baby's heart beat was missing. They tried downplaying our fear stating that the scan had probably stopped working which is why it failed to pick up the heart beat," said Niranjana, who has a 6-year-old daughter.

On September 19, by which time Niranjana was overdue by four days, she was moved to the delivery room. "I was in a lot of pain by then. But even then, the staff kept saying I wasn't ready as yet. When I went to the washroom the next day to relieve myself, I saw the baby's head. I quickly alerted my husband, who in turn rushed in the staff," said Niranjana. The stillborn baby was delivered.

According to Karthikeyan, the baby's head was squashed and broken. "When I asked the staff, I was told that the head usually becomes like that when babies die in the womb," he said. Struggling to come to terms with her baby's death, Niranjana realised her ordeal was far from over. "After my delivery when my husband was in the room I wanted to go to the toilet and called for help. The midwife told me I had to help myself. I was bleeding. When I came back from the toilet I found the midwife had gone. I couldn't return to the bed, barely managing to stand on my own and I had blood around me," she said.

The couple to their shock also discovered later that the baby's post-mortem was done four days after it was delivered. "When I inquired I was told that the delay was because the body can only be moved by an undertaker and they couldn't arrange for one immediately," said Karthikeyan. On September 24, the couple approached the metropolitan police and lodged a complaint and simultaneously filed a complaint with the NHS.

While the hospital administration wasn't available for comment, NHS acknowledged they had received the complaint. "We are looking into the complaint," said Alex Greenwood who is the facilitator between the couple and the national body. "Senior members of the staff will be involved in investigating the complaint," said Alex, who is part of patient advice and liaison service, a NHS body created to provide advise and support to NHS patients.

In December last year, a woman of Indian origin has died after doctors in Ireland refused to perform an abortion, telling her that "this is a Catholic country", sparking widespread outrage.

For Niranjana, it will take sometime before she musters the courage to step into a hospital again. "The story of my pregnancy has been marred with horror episodes of lack of proper care. My trust on midwives is completely shaken and I have doubts on the level of skills possessed to handle situations that are not quite the usual and need intervention. I may never bring myself to step into the hospital again," Niranjana said in her complaint.

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News Network
May 7,2020

United Nations, May 7: An average of 80,000 COVID-19 cases were reported each day in April to the World Health Organization, the top UN health agency has said, noting that South Asian nations like India and Bangladesh are seeing a spike in the infections while the numbers are declining in regions such as Western Europe.

WHO Director-General Tedros Adhanom Ghebreyesus said on Wednesday that countries must also be able to manage any risk of the disease being imported into their territories, and communities should be fully educated to adjust to what will be a "new norm".

He said as the countries press forward in the common fight against COVID-19, they should also lay the groundwork for resilient health systems globally.

"More than 3.5 million cases of COVID-19 and almost 250,000 deaths have now been reported to the WHO. Since the beginning of April, an average of around 80,000 new cases have been reported to the WHO every day," Ghebreyesus said in Geneva yesterday.

Asserting that the virus cases were not just numbers, he said: "every single case is a mother, a father, a son, a daughter, a brother, sister or friend".

He said while the numbers are declining in Western Europe, more cases are being reported every day from Eastern Europe, Africa, South-East Asia, the Eastern Mediterranean and the Americas. Even within regions and within countries, there are divergent trends, the agency added.

While some countries are reporting an increase in COVID-19 cases over time, many have seen caseloads rise because they have ramped up testing, the WHO official said.

"We've also seen in Europe and Western Europe a fundamental decrease in the number of cases, but we have seen an associated increase in the number of cases reported in places like the Russian Federation. Southeast, the Western Pacific areas are relatively on the downward trend like Korea and others, but then we do see in South Asia, in places like Bangladesh, in India, some trends towards increase.

"So it's very difficult to say that any particular region is improving or (not improving). There are individual countries within each region that are having difficulties getting on top of this disease and I am particularly concerned about those countries that have (an) ongoing humanitarian crisis," WHO's Executive Director Michael Ryan said.

The death toll due to COVID-19 in India rose to 1,783 while the number of cases climbed to 52,952 on Thursday, registering an increase of 89 deaths and 3,561 cases in the last 24 hours, the Union Health Ministry said.

The number of active COVID-19 cases stood at 35,902 while 15,266 people have recovered, it said.

Noting that while seeing an increase in the number of cases is not good in terms of transmission, WHO's Emerging Diseases and Zoonoses Unit head Maria Van Kerkhove said: "but I don't want to equate that with something (being) wrong".

"I want to equate that with countries are working very hard to increase their ability to find the virus, to find people with the virus, to have testing in place to identify who has COVID-19, and putting into place what they need to do to care for those patients," Kerkhove said.

With more countries considering easing restrictions implemented to curb the spread of the coronavirus, the WHO has again reminded the authorities of the need to maintain vigilance.

"The risk of returning to lockdown remains very real if countries do not manage the transition extremely carefully, and in a phased approach," Ghebreyesus said.

He urged countries to consider the UN agency's six criteria for lifting stay-at-home measures.

That advice includes ensuring surveillance is strong, cases are declining and transmission is controlled. Health systems also must be able to detect, isolate, test and treat cases, and to trace all contacts.

Additionally, the risk of outbreak in settings such as health facilities and nursing homes needs to be minimised, while schools, workplaces and other public locations should have preventive measures in place.

"The COVID-19 pandemic will eventually recede, but there can be no going back to business as usual. We cannot continue to rush to fund panic but let preparedness go by the wayside," he said.

He said the crisis has highlighted the importance of strong national health systems as the foundation of global health security: not only against pandemics but also against the multitude of health threats that people across the world face every day.

"If we learn anything from COVID-19, it must be that investing in health now will save lives later," Ghebreyesus said.

While the world currently spends around USD 7.5 trillion on health annually, the WHO believes the best investments are in promoting health and preventing disease.

"Prevention is not only better than cure, it's cheaper, and the smartest thing to do," he said.

The deadly coronavirus, which originated from the Chinese city of Wuhan in December last year, has infected over 3.7 million people and killed 263,831 people globally, according to a tally by Johns Hopkins University.

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News Network
April 17,2020

Washington, Apr 17: The confirmed coronavirus death toll in the United States reached 32,917 on Thursday, according to a tally by Johns Hopkins University.

The toll as of 8:30 pm (0030 GMT Friday) marked an increase of 4,491 deaths in the past 24 hours, by far the highest daily toll in the pandemic so far.

But the figure likely includes "probable" deaths related to COVID-19, which were not previously included. This week, New York City announced it would add 3,778 "probable" coronavirus deaths to its toll.

As of Thursday night, the US Centers for Disease Control and Prevention had recorded 31,071 coronavirus deaths, including 4,141 "probable" virus deaths.

The US has the highest death toll in the world, followed by Italy with 22,170 dead although its population is just a fifth of that of the US.

Spain has recorded 19,130 deaths, followed by France with 17,920.

More than 667,800 coronavirus cases have been recorded in the United States, which has seen a record number of deaths over the past two days.

Meanwhile, President Donald Trump unveiled plans Thursday evening to reopen the US economy, allowing each state's governor "to take a phased deliberate approach to reopening their individual states".

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News Network
February 18,2020

Beijing, Feb 18: Police in China have arrested a prominent activist who had been a fugitive for weeks and criticised President Xi Jinping's handling of the coronavirus epidemic while in hiding, a rights group said Tuesday.

Anti-corruption activist Xu Zhiyong was arrested on Saturday after being on the run since December, according to Amnesty International.

China's ruling Communist Party has severely curtailed civil liberties since Xi took power in 2012, rounding up rights lawyers, labour activists and even Marxist students.

The death this month of a whistleblowing doctor who was reprimanded by police for raising the alarm about the deadly new virus before dying of it himself triggered rare calls for political reform and freedom of speech.

The "Chinese government's battle against the coronavirus has in no way diverted it from its ongoing general campaign to crush all dissenting voices," said Patrick Poon, China researcher at Amnesty International, in an emailed statement.

Another source, who spoke to news agency on the condition of anonymity, said Xu had been arrested in the southern city of Guangzhou.

Guangzhou police did not respond to requests for comment.

Xu went into hiding after authorities broke up a December gathering of intellectuals discussing political reform in the eastern coastal city of Xiamen in Fujian province, prior to the coronavirus crisis.

Over a dozen lawyers and activists were detained or disappeared after the Xiamen gathering, according to rights groups -- and Xu's detention appears linked to his presence at the meeting, explained Poon.

But while on the run, Xu continued to post information on Twitter about rights issues.

On February 4 Xu released an article calling on Xi to step down and criticised his leadership across a range of issues including the US-China trade war, Hong Kong's pro-democracy protests and the coronavirus epidemic, which has now killed nearly 1,900 people.

"Medical supplies are tight, hospitals are filled with patients, and a large number of infected people have no way to be diagnosed," he wrote. "It's a mess."

"The coronavirus outbreak shows just how important values like freedom of expression and transparency are -- the exact values that Xu has long advocated," Yaqiu Wang, China researcher at Human Rights Watch, told news agency.

But the disappearance of Xu illustrates how the Chinese state "persists in its old ways" by "silencing its critics", she said.

Xu -- who founded a movement calling for greater transparency among high-ranking officials -- previously served a four-year prison sentence from 2013 to 2017 for organising an "illegal gathering".

"That he was a fugitive for so many days while continuing to speak out, that in itself was... a kind of challenge to (Chinese authorities)," said Hua Ze, a long-time friend of Xu who told AFP she lost contact with the Chinese activist on Saturday morning.

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