The increasing and alarming rate of Caesarean Section across the world is a worrisome issue. What are the solutions to address it? Ground realities and reasons are different and this issue is relevant to developed and developing world alike, unlike many health issues that are completely different in haves and have-not countries!! What are the current evidence and updates?
Cesarean sections are carried out for various reasons in different countries. Common reasons are fear of litigation (USA), fear of losing a precious baby (China), financial benefit (Brazil and several developing countries), poor knowledge of the use of forceps and vacuum delivery as well as inability to use partograph for decision making during labor. Better training of doctors in obstetrics, statutory regulation of birth places for various categories of obstetric problems, provision of facilities such as forceps. (for those who well trained in its use) and vacuum extractors (which are safer and easier to utilize), compulsory use of partograph in the management of labor will definitely reduce cesarean section rates. In addition, legislation can be made to define the offenses for which litigation is allowed in the United States of America. In China, where is there is a restriction on childbirth, the restriction should be based on the number of living children per woman and not on the number of deliveries per woman.
Dear Ganesh Dangal
The increase of births by caesar is a phenomenon that is observed all over the world; Three are the reasons in most cases where they are not indicated:
- The desire for profit. Performing a cesarean operation, involves performing in a hospital, operating room (surgery room) and use of specialized personnel and expensive medicines. Of course in a normal pregnancy without complications there are fewer risks and lower costs of the procedure.
- The mother's fear of experiencing pain with childbirth, which is avoided with the use of local or general anesthesia when a cesarean section is performed.
- Fast living in big cities. The obstetrician-gynecologist dedicates less time and earns more money in fees with performing cesarean deliveries, compared to deliveries. Parents also have an urgent need for the child to be born as soon as possible and on predetermined dates, so as not to excessively violate their daily activities.
regards
Jose Luis
Estimado Ganesh Dangal
El incremento de nacimientos por cesara es un fenómeno que se observa en todo el mundo; tres son las razones en la mayoría de los casos en que no están indicadas:
- El afán de lucro. Realizar una operación cesárea, implica que se realice en un hospital, con quirófano (sala de cirugía) y uso de personal especializado y medicamentos caros. Por supuesto que en un embarazo normal sin complicaciones hay menos riesgos y costos inferiores del procedimiento.
- El temor de la madre por experimentar dolor con el parto, lo que se evita con el uso de anestesia local o general cuando se realiza operación cesárea.
- La vida rápida en las grandes ciudades. El gineco-obstetra dedica menos tiempo y gana más dinero en honorarios con la realización de las cesáreas, en comparación a los partos. También los padres tienen urgencia porque nazca el niño lo más pronto posible y en fechas predeterminadas, a fin de no violentar en demasía sus actividades cotidianas.
Saludos
José Luis
This PPT presentation explain the causes and solutions as per evidence based guidelines and was presented at the local college conference this year
- Badges
- Science topic
- Similar topics
- Physical Sciences
- Materials Science
- Materials
- Inorganic Materials
- Ceramics
- Glass