September 6, 2025

Malappuram district in Kerala has witnessed a stunning fall in home births thanks to urgent efforts by the State health team. The numbers have tumbled from 254 home births annually to just 6 in one month. What triggered this big change? It was the heartbreaking death of a 35-year-old woman during a home birth in Padapparamba, near Malappuram, in April 2025. District Medical Officer Dr. R. Renuka called the drop in home births “remarkable,” crediting sharp and focused health interventions. She explained, "In Malappuram, it is not about religion or community. We have had good support from all communities and religious groups in spreading awareness about the risks of home births.” She also said the media played a key role by boldly covering the fatal home birth case, making people more cautious. But the health team didn't stop at spreading awareness. Legal action was taken against those involved in the tragic birth—including the woman’s husband and the birth assistant. Dr. Renuka said, "We have registered cases against the victim’s husband and the woman who assisted in their childbirth.” This serious move sent a clear message against risking home births. The district administration and police joined hands with health workers. They also brought local religious and cultural leaders on board to reach vulnerable groups, especially in remote and tribal areas like Nilambur where home births were once common. The interventions dramatically cut the numbers. Interestingly, home births in Malappuram were increasingly chosen due to beliefs promoted by naturopathy and acupuncture groups. Many women wanted to avoid medical procedures like epidurals, labour induction, and instrument-assisted delivery. But Dr. Renuka warns, "Home births always have a higher risk of infant or maternal death and other complications than hospital births.” The danger grows for women with multiple pregnancies, previous C-sections, or issues like abnormal fetal positions and long labor. Without hospital support, problems like hypertension or heavy bleeding can turn deadly. Kerala’s strong united effort shows how tragedy can lead to powerful change, saving mothers and babies in Malappuram. Home births are now at their lowest, and health officials continue to keep the pressure on for safer births everywhere in the district.

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Tags: Home birth, Malappuram, Kerala health, Maternal death, State interventions, Health awareness,