Health

Chandigarh News

C-section deliveries doubled in Chandigarh, highest in country

Y.S.Rana
December 20, 2018 06:45 PM

CHANDIGARH: More and more women in Chandigarh prefer to go under the knife instead of waiting for a normal delivery if the latest data is of any indication. Over the decade the percentage of C-section deliveries has doubled from 9 per cent to 18.5 per cent per a report released by the Lancet. The highest number of C-section deliveries in the country was reported from Chandigarh where 98 per cent deliveries were done through C-section.  The pattern is a matter of concern for Chandigarh.  For every one child born through normal delivery, 60 children were delivered via C-section.

In India C-section rates vary widely while it is six per cent in Nagaland and Bihar and 58 per cent in Telangana.  In Delhi, the percentage of C-section deliveries stood at 67.83 per cent.  In Himachal Pradesh the percentage is 16.7 per cent; Haryana has 11.7 per cent and Punjab recorded more increase in C-section deliveries with 24.6 per cent.  In the past 20 years  the choice of undergoing C-section has gone up from 10 per cent to 30 per cent among wealthiest quintile.

The report also stated that private hospitals were the prime driver of this trend. These hospitals conducted 45 per cent C-section deliveries in cities against 38 per cent in villages and 56 per cent deliveries in private hospitals empanelled under the Central Government Health Scheme were caesarean procedures. Chandigarh registered 74.1 per cent total deliveries in government compared to 20.17 per cent deliveries in private health institutions. Of the total deliveries in the city, 82.4 per cent were conducted in rural areas while 70.5 per cent in urban areas.

While talking to experts warned that childbirth through the caesarean section has a 2.84 fold higher chance of maternal death than a normal delivery.  They also believed that the private section is fuelling the boom in C-sections and has done nothing to hold them accountable. It also increases the expense burden on the patient and her family. “The bills went up to more than Rs one lakh,” said a doctor.         

However in the sub-continent, India has lower rates of C-section deliverie than Bangladesh (30.7 per cent) and Sri Lanka (30.5 per cent) but higher rates in Nepal (9.6 per cent) and Pakistan (15.9 per cent).  If mor
              
Government of India (GoI) has already written to all States and UTs sharing the latest WHO statement. In addition, States have been informed to conduct periodic prescription audits in the private health facilities under the Clinical Establishment Act. They have also been informed that prescription audits can be extended to public health facilities. The Government of India has enacted the Clinical Establishments (Registration and Regulation) Act, 2010 with the objective of registration and regulation of health care institutions including those in the private sector. 10 States and 6 UTs have adopted the Clinical Establishment Act. Health being a state subject, it is the responsibility of the state to effectively implement the act.

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