#CSection conundrum 1/n
As a neonatologist I shall delve into short & long term effects on the child a bit later on.
For today, the question I am looking into is ‘will > C section = < maternal and neonatal mortality’ adjusted and not adjusted to Human developmental Index (HDI)
As a neonatologist I shall delve into short & long term effects on the child a bit later on.
For today, the question I am looking into is ‘will > C section = < maternal and neonatal mortality’ adjusted and not adjusted to Human developmental Index (HDI)
#Csection and #MMR and #NMR 2/n
WHO recommends an ideal rate of 15% at a population level. Less than this, mums and babies are at risk, more it will veer towards unnecessary sections.
Does this hold good when we look into pooled country wise data?
WHO recommends an ideal rate of 15% at a population level. Less than this, mums and babies are at risk, more it will veer towards unnecessary sections.
Does this hold good when we look into pooled country wise data?
When adjusted to HDI, especially amongst developing countries there is ⬆️ risk of maternal deaths when C section rates are below 10%. But the correlation (higher C section - lower mortality) irons out pretty rapidly beyond 10% for MMR and 20% for NMR 3/n 
Another analysis suggests the WHO cut-off may need to be moved from 15 to just around 20%, but beyond that the cut of the #CSection doesn’t cut! 4/n
What is happening in #India? Our data is not clean, but we have NFHS that will at the least give us a trend. These numbers, all of us in private establishments, will agree is a gross underestimate of current #CSection rates. Even if we take note of the trend it is alarming. 5/n
I conclude 6/n
#Csection saves lives, two at a time, but when it is indicated. It’s life saving power surges when we are delivering 10-20 out of every 100 babies by cutting open the gravid uterus. Beyond 20% that salutary effect ebbs.
#Csection saves lives, two at a time, but when it is indicated. It’s life saving power surges when we are delivering 10-20 out of every 100 babies by cutting open the gravid uterus. Beyond 20% that salutary effect ebbs.
n/n
In the decade 2005-15 #CSection rates in pvt establishments in #India jumped X3. Your odds of going under a knife are X4 if you deliver in a pvt set up as opposed to a public health care facility.
There won’t be easy answers but we can start with the right questions.
In the decade 2005-15 #CSection rates in pvt establishments in #India jumped X3. Your odds of going under a knife are X4 if you deliver in a pvt set up as opposed to a public health care facility.
There won’t be easy answers but we can start with the right questions.
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