AIIMS Bhopal begins free clinical autopsies:Maternal death cause in 90 minutes, no police role

Madhya Pradesh remains among the worst-performing states on maternal and child health indicators. Latest data show that 159 women die per one lakh deliveries, while 40 newborns die per 1,000 births. These numbers reflect gaps in timely treatment, resources and access to safe delivery facilities. In many cases, the exact cause of death is not established, limiting targeted intervention. To address this, AIIMS Bhopal has introduced clinical autopsies in cases of deaths during pregnancy and childbirth to determine the precise cause. Free, consent-based process; no police role The facility is free and conducted with the consent of the family. It is not a medico-legal procedure and does not involve the police. Doctors say the process helps families understand the cause of death and provides the government with reliable data to frame policies to reduce maternal mortality. Maternal mortality refers to the death of a woman during pregnancy, at delivery, or within 42 days of the end of pregnancy. Doctors at AIIMS Bhopal say the state continues to report a relatively high number of such cases. Focus on accurate identification of causes Clinical autopsies are being carried out where the cause of death is unclear. Through scientific examination, doctors aim to identify whether deaths were preventable and the complications involved. Unlike medico-legal autopsies, this process is done on request. Only required tissues are examined to establish the cause of disease or complication. Reports shared with families After the procedure, doctors prepare histopathology and microbiology reports. These are shared with families within a few days, explaining the cause of death and addressing concerns, including possible negligence. Officials say the data will help identify gaps in health services, infrastructure and treatment, enabling more focused interventions. Why the intervention matters According to the Sample Registration System (SRS) Maternal Mortality Bulletin 2020–22, Madhya Pradesh’s maternal mortality ratio (MMR) is 159, compared to the national average of 88. Uttar Pradesh and Chhattisgarh report an MMR of 141, while Odisha stands at 136. In contrast, Kerala (18) and Maharashtra (36) show better outcomes in maternal care. Procedure carried out with dignity Doctors say the autopsy takes about 90 minutes and is conducted with care. Only necessary samples are taken, organs are replaced, and the body is stitched properly before being handed over to the family. The face remains unaffected. Direct interaction with doctors Family members can speak with doctors before and after the procedure. This ensures transparency and helps address concerns. Experts say identifying the exact causes of maternal deaths can help prevent similar cases in the future.