First Reported Death of a Postpartum Woman Due to Coronavirus Disease 2019 in Nepal: A Lesson Learnt

Authors

  • A.P. Shrestha Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal
  • N. Bhushal Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal
  • A. Shrestha Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal
  • D. Tamrakar Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal
  • P. Adhikari Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal
  • P. Shrestha Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal
  • A. Shrestha Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal
  • B. Karmacharya Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal
  • S. Basnet Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal
  • S.R. Tamrakar Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal
  • R. Shrestha Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal
  • R. Shrestha Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

DOI:

https://doi.org/10.3126/kumj.v18i2.33074

Keywords:

Coronavirus, Emergency Department, Personal Protective Equipment, Postpartum death, Real time polymerase chain reaction, Resuscitation

Abstract

The first case of coronavirus disease 2019 was reported on December 31, 2019 in Wuhan, China where the average case fatality rate was 6.1 ± 2.9%. There are 453 deaths as of September 24, 2020 in Nepal. We report the first death of a 29-years-old postpartum woman due to COVID-19 in Nepal who was referred from a rural health center to Dhulikhel Hospital. On arrival, she was taken to the acute respiratory zone of the emergency department to provide immediate lifesaving procedures. Despite the repeated resuscitative measures, return of spontaneous circulation could not be achieved. The real time polymerase chain reaction test was positive. Our case report highlights the importance of early clinical suspicion, importance of “safety first” in healthcare settings, and the chain of management in such patients. We consider the fact that a postpartum woman registered as the first case of COVID-19 related death in Nepal to be an area of further study.

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Author Biographies

A.P. Shrestha, Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

Department of General Practice and Emergency Medicine

N. Bhushal, Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

Department of Microbiology

A. Shrestha, Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

Department of Community Medicine

D. Tamrakar, Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

Department of Community Medicine

P. Adhikari, Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

Department of Public Health and Community Programme

P. Shrestha, Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

Department of Public Health and Community Programme

A. Shrestha, Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

Department of Public Health and Community Programme

B. Karmacharya, Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

Department of Public Health and Community Programme

S. Basnet, Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

Department of General Practice and Emergency Medicine

S.R. Tamrakar, Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

Department of Obstetrics and Gynecology

R. Shrestha, Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

Department of General Practice and Emergency Medicine

R. Shrestha, Dhulikhel Hospital Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

Department of Pharmacology, and Pharmacovigilance Unit/Research and Development
Division

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Published

2020-11-19

How to Cite

Shrestha, A., Bhushal, N., Shrestha, A., Tamrakar, D., Adhikari, P., Shrestha, P., Shrestha, A., Karmacharya, B., Basnet, S., Tamrakar, S., Shrestha, R., & Shrestha, R. (2020). First Reported Death of a Postpartum Woman Due to Coronavirus Disease 2019 in Nepal: A Lesson Learnt. Kathmandu University Medical Journal, 18(2), 117–119. https://doi.org/10.3126/kumj.v18i2.33074