State Consumer Disputes Redressal Commission
Sheela Matrnity Hospital vs Thawarmal Through Maya & Anr. on 23 July, 2012
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cuke 'khyk eSVjfuVh gkWLihVy fnukad% 23&7&2012 le{k % ek- ihBklhu lnL; % Jh 'kf'k dqekj ikjhd ek- lnL; % Jh fy;kdr vyh mifLFkr % vihykFkhZ 'khyk gkLihVy dh vksj ls % Jh foTth vxzoky ,MoksdsV A jsLikMsaV ifjoknh % Jh vlxj [kku ,MoksdsV A mijksDr nksuksa vihysa fo)ku ftyk eap pq: ds ifjokn la- 174@2006 esa ikfjr vkns'k fnukad% 23&8&2007 ds fo:) is'k dh x;h gSa blfy, budk fuLrkj.k bl ,d gh vkns'k ls fd;k tk jgk gS A ;g vihy foi{kh vihykFkhZ us fo)ku ftyk eap] pq: ds ifjokn la- 174@2006 fnukad vkns'k 23&8&2007 ls {kqC/k gksdj is'k dh gS ftlds tfj;s ifjokn Lohdkj dj vizkFkhZx.k dks 6]03000@& :- rFkk 9 izfr'kr O;kt o 1000@&:- ifjokn O;; nsus ds vkns'k fn;s x;s A ifjoknh us {kfriwfrZ de gksus ds vk/kkj ij ;g vihy is'k dh gSA i=kkoyh ryc dj cgl mHk; i{k lquh x;h A &2& laf{kIr rF; bl izdkj gSa fd ifjoknh dh ifRu rFkk vU; izkFkhZx.k dh ekrk ljkst xHkZorh Fkh A vizkFkhZ la- 2 ls lEidZ fd;k x;k tkap djus ij crk;k x;k fd uksjey fMyhojh gS ckn esa mls HkrhZ fd;k x;k A fnukad% 15&6&2006 dks mlus ,d cPps dks tUe fn;k A ml le; fMyhojh :e esa lkFk x;h gqbZ efgyk;sa Hkh Fkha A eq- ljkst ds isV ij vf/kd izs'kj vizkFkhZ la- 2 )kjk fn;k x;k o vius deZpkfj;ksa ls fnyok;k rFkk ykijokgh ls izlo djok;k] ckn esa tYnh ls vizkFkhZ la- 2 vius dsfcu esa pyh x;h A eq- ljkst ds vR;f/kd CyhfMax gks jgh Fkh A vizkFkhZ la- 2 dks dbZ ckj dgk ij og ugha vkbZ] ckn esa ekSgYys ds dbZ O;fDr;ksa us tkdj mls dgk rc og fMyhojh ds yxHkx 35 feuV ckn eqf'dy ls mls ns[kus vkbZ A mlds dkQh CyhfMax gks pqdh Fkh mlus nokbZ fy[kh batsD'ku fnyok;s ij gkyr esa dksbZ lq/kkj ugha gqvk A mldh gkyr fcxM+rh xbZ vkSj ckn esa mls ljdkjh vLirky esa ys tkus ds fy;s dgk A jsQj fLyi Hkh ugha nh x;h A eq- ljkst csgks'k gks xbZ A ljdkjh vLirky esa igys ds bykt dh fLyi ekaxh x;h A bykt 'kq: fd;k A vizkFkhZ la- 2 ls iqu% fLyi ekaxus ds fy;s x;s cM+h eqf'dy ls mlus fLyi nh A mlus eq- ljkst dk lgh le; ij lgh <ax ls bykt ugha fd;k A vf/kd CyhfMax gksus ls og csgks'k gks x;h A ljdkjh vLirky esa batsD'ku fnyok;k x;k cpkus dk iz;kl fd;k x;k ij mldh e`R;w gks x;h A vizkFkhZ la- 2 dk nkf;Ro Fkk fd og fMyhojh ds i'pkr CyhfMax jksdus dk iz;kl djrh ij mlds )kjk ,slk ugha fd;k x;k u dksbZ bykt fd;k x;k u lko/kkuh cjrh x;h A fMyhojh ds i'pkr ykyp ds o'khHkwr gksdj eq- ljkst dh rjQ /;ku ugha fn;k x;k] vU; ejhtksa dks ns[kus yxha vR;f/kd CyhfMax ds fy;s vizkFkhZ la- 2 dks ckj ckj dgk rFkk mldks Kku gksus ds ckotwn mlus bykt dh rjQ dksbZ /;ku ugha fn;k A le; ckn ljdkjh vLirky esa Hkstk A 2500@&:- fMyhojh dh Qhl nokb;ka vkfn ds fy;s ftldh dksbZ jlhn ugha nh x;h A yM+dk gksus ds dkj.k 551@&:- buke ds ys fy;s 150@&:- mlus deZpkfj;ksa dks fnyok;s A ljdkjh vLirky esa ys tkus ij Hkh [kpZ gqvk] nokb;ksa ij [kpZ gq;s A e`rdk 100@&:- jkst ds flykbZ dk dke djds dek ysrh Fkh mldh 35 o"kZ dh mez Fkh A mldh e`R;w ls vizkFkhZx.k dks vR;f/kd ekufld Dys'k gqvk gS A izkFkhZ la- 1 nkEiR; lq[k ls rFkk vU; izkFkhZx.k viuh eka ds Lusg ls oafpr gks x;s A izkFkhZx.k dks 10]80]000@&:- vk; ds uqdlku ds] izkFkhZ la- 1 dk nkEiR; lq[k ls oafpr gksus ds fy;s 2]00]000@&:- vU; izkFkhZx.k dks Lusg ls oafpr gksus ds fy;s 1]00]000& 1]00]000@& :- fnyok;s tkosa] nokb;ksa ij gq;s [kpZ o vU; [kpZ dh jkf'k o ifjokn O;; dh jkf'k fnyokus dh ekax dh gS A &3& vizkFkhZ la- 1 dh vksj ls tcko is'k fd;k x;k rFkk vizkFkhZ la- 1 dh vksj ls dgk x;k fd i`Fkd ls tcko is'k djuk ugha pkgrs A bl izdkj nksuksa vizkFkhZx.k dk ;gh tcko gS A muds )kjk dgk x;k gS fd rF;ksa dks rksM+ ejksM+ dj fy[kk x;k gS A e`rdk dh tkap dh xbZ Fkh A mldh fjiksVZ Bhd Fkh ij CyM usxsfVo xzqi Fkk vizkFkhZx.k us dksbZ ykijokgh ugha cjrh mldh ;g ikapoh fMyhojh Fkh A mlds uksjey fMyhojh gqbZ A mlds dksbZ izs'kj dke esa ugha fy;k x;k u Vkads yxk;s x;s Fks A fMyhojh ds le; MkDVj o uflZax LVkQ ds vykok vU; dksbZ ugha Fkk A e`rdk ds lkFk vk;s O;fDr;ksa dks dgk Fkk fd CyM xzqi ch usxsfVo mldk gS ,sls [kwu dh O;oLFkk djsa rks [kwu p<+k nsrs A mUgksaus ljdkjh vLirky esa CyM cSad gksuk crk;k rFkk ogka ys tkus ds fy;s dgk A mUgha ifjfLFkfr;ksa esa ljdkjh vLirky esa jSQj fd;k x;k A vizkFkhZx.k )kjk ljdkjh vLirky ls vf/kd lqfo/kk nh tkrh gS iwjh ns[kHkky dh tkrh gS A vf/kd CyhfMax ls og csgks'k ugha gqbZ Fkh A mlds vU; dksbZ dkj.k mRiUu gks x;k Fkk mldh e`R;w ljdkjh vLirky esa gqbZ A e`R;w izek.k i=k esa mldh e`R;w Qrsgiqj esa gksuk crk;k gS vr% e`R;w dk le; o LFkku lansgkLin gks tkrs gSa A e`R;w ds dbZ dkj.k gks ldrs gSa A vizkFkhZ lhfu;j efgyk fpfdRld gS A pq: esa yEcs le; ls dk;Z dj jgh gS mlus izkFkhZx.k ls dksbZ Qhl ugha yh u buke isVs dksbZ jkf'k yh A xyr ifjokn izLrqr fd;k gS vr% vLohdkj fd;s tkus ;ksX; gS A fo)ku ftyk eap us 'kdqaryk o fdju ds 'kiFk i=k ds vk/kkj ij ;g ekuk fd Mk- 'khyk us ljkst ds uksjey fMyhojh gksrs gq, Hkh ,DLVªk izs'kj fn;k ftlls jDr Jko izkjEHk gks x;k o vR;f/kd jDr Jko dh otg ls mldh e`R;w gqbZ A Mk- 'khyk us fMyhojh le; 9-25 ds ckn 35 feuV rd ejht dh ns[kHkky ugha dh rFkk vR;f/kd jDr Jko gksus ds i'pkr og csgks'kh dh gkyr esa ljdkjh vLirky dks jSQj fd;k tgka mldh 11-30 ih,e ij e`R;w gks x;h A vr% MkDVj dks lsoknks"k dk nks"kh ekurs gq, mijksDr {kfriwfrZ ds vkns'k fn;s A fo)ku vf/koDrk vihykFkhZ dk dFku gS fd i`"B la- 5 ds iSjk 2 esa fo)ku ftyk eap us dsoy d;kl yxk;k gS fd vf/kd izs'kj Mkyus ls ulsa QV x;h gksaxh ftlds dkj.k jDr Jko vf/kd gqvk tc fd Mk- 'khyk )kjk fd;s x;s bykt dh iphZ esa ekbYM ihih,p gksuk vafdr gS ftldk vFkZ gS iksLV ikVZe gsejst gksuk o ;ksuh o xHkkZ'k; iqu% ladqfpr gksus ds ctk; Qsys gq, jg x;s rFkk ;g chekjh vf/kd cPps tuus ij T;knk gksrh gS] bl lUnHkZ esa mUgksaus esMhdy fyVjspj fn;k ftlesa dgk gS &4& fd ,Vksfud ihih,p eYVhisfjVh esa gksrk gS blds vykok muds )kjk esMhdy fyVjspj fn;k tks fuEu izdkj gS %& Postpartum hemorrhage, defined as the loss of more than 500 ml of blood after delivery, occurs in up to 18% of births. Blood loss exceeding 1000 ml. Is considered physiologically significant andcan result inhemodynamic instability (1). Even with appropriate management, approximately 3% of vaginal deliveries will result in servere PPH. It is the most common maternal morbidity in developed countries and a major cause of death world wide Globally about 11% of women having live births have severe PPH amounting to 14 million women a year(2). The major burden of this is borne by women in underdeveloped and developing countries. The incidence is higher in operative deliveries especially when conducted under general anesthesia. The incidence is said to be 3.9% in vaginal deliveries & 6.4% in cesarean deliveries(1).
Uterine atony is the most common cause of PPH. Followed by traumatic PPH.
mijksDr esMhdy fyVjspj ls ;g d;kl xyr lkfcr gksrk gS fd isV dh ulsa QV x;h gksa D;ksafd HkrhZ vLirky esa ,CMksey lkW¶V gksuk vafdr gS ihih,p ls gh jksxh csgks'k gksuk vafdr gS] e`R;w dk dkj.k vafdr ugha gS fdUrq e`R;w dk dkj.k ihih,p gh gS] vr% ;g Li"V gS fd ljkst ds ikapoka cPpk gksus ls mldk xHkkZ'k; fMyhojh ds ckn ladqfpr ugha gqvk] mldk [kwu ch&usxsfVo Fkk tks foi{khx.k ds ;gka miyC/k ugha Fkk ftldh nks ;wfuV O;oLFkk djus dks dgk x;k rFkk jDr Jko jksdus dk Hkjiwj iz;kl fd;k x;k rFkk tks izksVksdksy gS mlds fglkc ls batsD'ku fn;k x;k gS ;gh bykt ljdkjh vLirky esa Hkh fd;k x;k gS A vr% Mk- 'khyk )kjk vf/kd izs'kj nsdj isV dh ulsa QVus dk vkjksi feF;k gS A ihih,p vf/kd larku gksus ds dkj.k gqvk gS] jDr Jko jksdus dk Hkjiwj iz;kl fd;k x;k gS rFkk fMyhojh ds nks ?k.Vs ds Hkhrj ljdkjh vLirky esa CyM p<+kus gsrq jSQj dj fn;k x;k] ,slh fLFkfr esa foi{kh vihykFkhZ dh dksbZ esMhdy usXyhtsal ugha ik;h tkrh gS vkSj uk gha bl lEcU/k esa dksbZ fo'ks"kK dh &5& fjiksVZ miyC/k gS A iksLV ekVZe gqvk ugha gS vr% e`R;w dk dkj.k ihih,p gksuk gh ekuk tkosxk A ,slh fLFkfr esa vihy la- 1578@2007 lQy gksrh gS] fo)ku ftyk eap pq: dk vkns'k fnukad% 23&8&2007 vikLr fd;k tkrk gS o ifjokn [kkfjt fd;k tkrk gS A Økl vihy la- 1596@2007 mijksDr vk/kkj ij [kkfjt dh tkrh gS] vihykFkhZ us tks jkf'k tek djk;h gS og e; vftZr ykHk ds mls okil ykSVk;h tkos A lnL; ihBklhu lnL;
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