91% Plus C-Section Deliveries in J&K Hospital revealed through RTI by J&K RTI Foundation _ Story on World Health Day 2018
News18 Urdu story, the analysis of documents obtained through JK Right to information Act 2009 RTI by J&K RTI Foundation, breaks on this WorldHealthDay2018 :
1. Cesarean section deliveries have become a business. The hospitals and doctors are making money off unsuspecting women and pushing them towards surgical deliveries.
2. Even Patients, due to non-awareness, are ready to go for the surgery without being aware of the consequences. Recent studies show that C-sections lead to a higher risk of post-partum depression and lower breastfeeding rate in women and diseases like obesity and diabetes in children. Despite its adverse effects on maternal and child health, hospitals and doctors are indiscriminately conducting C-sections to make more money. To discourage this trend, women need to be made aware of the C-section rates of different hospitals and maternity homes, so that they can choose their hospitals carefully.
3. The large number of C-sections conducted in Jammu and Kashmirindicates that many of these procedures are unwarranted. The World Health Organisation has said that the recommended rate for C-sections is between 10% and 15% of deliveries. C-section rates in J&K are much higher and they are higher in the private healthcare sector compared to public health facilities. However in J&K, RTI reveals, there is 91 percent plus C-Section Deliveries percentage in some hospitals and there has been an increasing graph since last three years.
4. The patient should be compelled for natural birth under limits of safety because doctors say that natural birth is best, of course. Unfortunately nowadays patients are trying to avoid long and distressful labours that can last 12 hours as a baby can be delivered in thirty minutes only with the C-section procedure. Doctors should discourage this trend.
5. The way in which the doctor’s present their matter-of-fact for C-Section should have been quite banned. Patients are told multiple reasons why artificially inducing delivery would be necessary, and how a C-section would be safest. Nobody would prefer C-Section if Doctor's utilize little efforts on awareness and benefits of natural births.
6. It seems that the private maternity industry has been built around the preferences of the majority and most efficient option for hospitals. C-sections are quick and they can be scheduled. Moreover, hospitals can save resources by promoting more C-sections since they can avoid having obstetric staff on standby through all 24 hours of a day. Natural births, on the other hand, may start at any time and there is no way to estimate when it might end. Scheduling surgery allows hospitals to manage with small low-cost teams. High-cost specialists – anaesthetists and paediatricians – may be brought in for specific hours.
7. The women Chief Minister of our state Jammu and Kashmir, Mehbooba Mufti, must issue and advisory to the Directorate Of Health Services Kashmir/ Deptt. Of Health And Medical Education, Govt. Of J&K to
i. Make it mandatory for all doctors and hospitals to declare the percentage of Cesarean delivery rates to patients.
ii. Conduct inquiry against those with abnormally high C-section rate.
iii. Frame clear guidelines for conducting Cesarean to safeguard the health and rights of women and children
8. J&K needs good quality advanced maternity care where women are not scared into making medical choices that are convenient for hospitals. To get this proper care, we need to be better informed so that we can identify options and make decisions for our bodies and for the lives of our families. This story is not a call for more government regulation or to dispute medical practices. We need to start talking more to the medical experts we trust our body to and make them give us the best healthcare.
WE MUST REMEMBER THAT C-SECTION IS AN EMERGENCY RECOURSE AND NOT A ROUTINE MEDICAL PROCEDURE.
News18 Urdu (07-04-2018)
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