Over 70 pc maternal deaths in Karnataka could've been prevented: Audit report
Bengaluru, Apr 04 (PTI): Nearly 70 per cent of maternal deaths that occurred between April 1 and December 31, 2024, could have been prevented by following certain practices such as optimising cesarean rates and ensuring health facility preparedness, according to the interim maternal death audit report released by the Health and Family Welfare Department on Friday.
Following a sudden spurt in maternal deaths in Ballari during November 2024, the Karnataka government constituted a technical team of experts to examine all maternal deaths from April 1, 2024, and submit an audit report.
According to the report, out of the 464 maternal deaths analysed across districts in the state during this period, 18 were linked to the use of substandard Ringer Lactate solution, reportedly supplied by West Bengal-based manufacturer Paschim Banga Pharmaceuticals.
Of the 18 maternal deaths associated with the Ringer Lactate issue, five were reported in Ballari, four in Raichur, four in Bengaluru Urban, three in Uttara Kannada, and one each in the Yadgir and Belagavi districts.
The audit found that 65 per cent of the total maternal deaths occurred in government hospitals, 22 per cent in private hospitals, 10 per cent in transit, and 2 per cent at home.
It noted that the 10 deaths that occurred in transit were caused due to "negligence of the service providers."
The report also revealed that 50 per cent of the maternal deaths occurred among women aged 19 to 25 years, while 6 per cent were among women aged above 35.
Further, 72 per cent of the deaths were among first-time and second-time pregnant women.
Notably, 68.5 per cent of the women who died had one or more risk factors such as hypertension, diabetes, infections, or severe anemia—indicating that high-risk pregnancies significantly contributed to maternal mortality.
In contrast, 31 per cent of the deaths occurred in women with no known risk factors.
The audit report stated that 37 per cent of the maternal deaths followed normal deliveries, while 63 per cent were associated with cesarean sections.
According to the state government, Karnataka has made steady progress in reducing maternal deaths and has already achieved the Sustainable Development Goal of a Maternal Mortality Ratio below 70 by 2030.
"As per the latest 2024–25 statistics, the state MMR is 57. Compared to the previous financial year, maternal deaths have decreased in the first three months of this year. In January–March 2024, 148 maternal deaths were reported, while in the same period in 2025, the number dropped to 102," the department said in a statement.
The state-level expert committee also submitted 27 recommendations to improve the quality of antenatal, intrapartum, and postpartum services in healthcare facilities.
Key recommendations include capacity building, equipping facilities with essential drugs and equipment, strengthening blood storage units, and mandating hospital stays of three days after normal delivery and seven days after cesarean delivery.
The committee also recommended post-mortem examinations in cases where the cause of death is unclear.
"Birth planning should be done for all pregnant women, including decisions on the time, place, and mode of delivery. Necessary logistics such as transportation—via 108 services or local transport—should be discussed and finalised well before the expected delivery date," the report stated.
According to the Health Department, the committee reviewed all maternal deaths, including those in private facilities, that occurred in Karnataka from April 1 to December 31, 2024.
The audits were conducted by examining healthcare processes based on medical records and oral submissions from doctors and specialists involved in the care of the deceased patients.
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Donald Trump threatens more tariffs on China as global markets plunge
Washington, Apr 7 (AP): President Donald Trump threatened additional tariffs on China on Monday, raising fresh concerns that his drive to rebalance the global economy could lead to a trade war.
Trump's threat, which he delivered on social media, came after China said it would retaliate against US tariffs announced last week.
“If China does not withdraw its 34% increase above their already long term trading abuses by tomorrow, April 8th, 2025, the United States will impose ADDITIONAL Tariffs on China of 50%, effective April 9th,” he wrote on Truth Social. "Additionally, all talks with China concerning their requested meetings with us will be terminated!"
Trump has remained defiant as the stock market continued plunging and fears of a recession grew.
“Be Strong, Courageous, and Patient, and GREATNESS will be the result!” he wrote.
The Dow Jones Industrial Average dropped 1,200 points as trading began on Monday morning, and the S&P 500 was on track to enter a bear market, which means falling 20% from a recent high. Even some of Trump's allies are raising alarms about the economic damage, and financial forecasts suggest more pain on the horizon for U.S. businesses, consumers and investors.
The Republican president has insisted his tariffs are necessary to rebalance global trade and rebuild domestic manufacturing. He accused other countries of “taking advantage of the Good OL' USA!” on international trade and said “our past leaders' are to blame for allowing this.” He singled out China as “the biggest abuser of them all” and criticized Beijing for increasing its own tariffs in retaliation.
Trump also called on the Federal Reserve to lower interest rates. On Friday, Federal Reserve Chair Jerome Powell warned that the tariffs could increase inflation, and he said “there's a lot of waiting and seeing going on, including by us,” before any decisions would be made.
Investors expect the U.S. central bank to cut its benchmark interest rates at least four times by the end of this year, according to CME Group's FedWatch, a sign that concerns about inflation will be eclipsed by fears of layoffs and a shrinking economy.
Trump spent the weekend in Florida, arriving on Thursday night to attend a Saudi-funded tournament at his Miami golf course. He stayed at Mar-a-Lago, his private club in Palm Beach, and golfed at two of his properties nearby.
On Sunday, he posted a video of himself hitting a drive, and he told reporters aboard Air Force One that evening that he won a club championship.
“It's good to win,” Trump said. "You heard I won, right?”
He also said that he wouldn't back down from his tariffs despite the turmoil in the global markets.
“Sometimes you have to take medicine to fix something," Trump said.
Goldman Sachs issued a new forecast saying a recession has become more likely even if Trump backtracks from his tariffs. The financial firm said economic growth would slow dramatically “following a sharp tightening in financial conditions, foreign consumer boycotts, and a continued spike in policy uncertainty that is likely to depress capital spending by more than we had previously assumed."
European Commission President Ursula von der Leyen said the European Union would focus on trade with other countries besides the United States, saying there are “vast opportunities” elsewhere.
Trump said he spoke with Japanese Prime Minister Shigeru Ishiba to start trade negotiations. He complained on Truth Social “they have treated the U.S. very poorly on Trade” and “they don't take our cars, but we take MILLIONS of theirs.”
Ishiba said he told Trump that he's “strongly concerned” that tariffs would discourage investment from Japan, which has been the world's biggest investor in the U.S. in the past five years. He described the situation as a “national crisis” and said that his government would negotiate with Washington to urge Trump to reconsider the tariffs.
White House trade adviser Peter Navarro suggested countries would need to do much more than simply lower their own tariff rates to reach deals, saying they would have to make structural changes to their tax and regulatory codes.
“Let's take Vietnam," he said on CNBC. “When they come to us and say, We'll go to zero tariffs,' that means nothing to us because it's the non-tariff cheating that matters.”
On Monday, the president is scheduled to welcome the Los Angeles Dodgers to the White House to celebrate their World Series victory. He's also meeting with Israeli Prime Minister Benjamin Netanyahu, and they're expected to hold a joint press conference in the afternoon.
Trump has strived for a united front after the chaotic infighting of his first term. However, the economic turbulence has exposed some fractures within his disparate coalition of supporters.
Bill Ackman, a hedge fund manager, lashed out at Commerce Secretary Howard Lutnick on Sunday as “indifferent to the stock market and the economy crashing.” He said Cantor Fitzgerald, the financial firm led by Lutnick before he joined the Trump administration, stood to profit because of bond investments.
On Monday, Ackman apologized for his criticism but reiterated his concerns about Trump's tariffs.
“I am just frustrated watching what I believe to be a major policy error occur after our country and the president have been making huge economic progress that is now at risk due to the tariffs," he wrote on X.
Top White House economic adviser Kevin Hassett told Fox News Channel that Ackman should “ease off the rhetoric a little bit.”
He insisted that other countries, not the United States, are “going to bear the brunt of the tariffs.”
Billionaire Elon Musk, a top adviser to Trump on overhauling the federal government, expressed scepticism about tariffs over the weekend. Musk has said that tariffs would drive up costs for Tesla, his electric automaker.
“I hope it is agreed that both Europe and the United States should move ideally in my view to a zero tariff situation, effectively creating a free trade zone between Europe and North America,” Musk said in a video conference with Italian politicians.
He added, “That certainly has been my advice to the president.”
Navarro later told Fox News that Musk “doesn't understand” the situation.
“He sells cars,” Navarro said. “That's what he does.” He added that, “He's simply protecting his own interests as any business person would do.”
