 In 1923, Sethu Lakshmi Bayi gave birth to her elder daughter, Uthram Thirunal Lalithamba Bayi.In 1924, Sethu Lakshmi Bayi received news that King Moolam Thirunal was critical due to sepsis.The Maharajah died leaving behind the 12-year-old Sree Chithira Thirunal Balarama Varma as heir to the throne.