Rajath Profile picture
Jul 12 8 tweets 5 min read
#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)
#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?
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.
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.

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More from @FoolzWizdom

Aug 13, 2021
I am further convinced that Twitter at least is not the place where we can further the cause of general welfare. Some of us will note the blind spot we have to numerous privileges we have. But, we still have to give the best for ourselves and our kids. We have no choice.
So we make points that clearly lay out - we can’t escape the race, we work hard. We find lateral entry points for others a great disadvantage.The label of our own privileges: class, caste, IQ, merit is a burden if anything.I don’t see why anyone should have a problem with that.
The other side is now cogently arguing need for equitable opportunities and representation in the society. This would be for the common good, but at individual cost. There may be a point in that merit alone will not bring social justice. Do we have the right means to that end?
Read 7 tweets
Aug 12, 2021
Finally read Prashanth’s editorial. Not easy or comfortable read. Not easy also because we all have inherent biases. The flow of thoughts are complex and the sentences are long. One drifts to one’s own life events rather than read author’s reflections, hence maybe a bit lost 1/n
Basic premise is to question the merit of meritocracy. But meritocracy exists very patchily in our society. The ladder to climb to a better social standing, affluence, influence if only was professional college, degrees, high paying jobs the equation would have been simpler.
Most ‘merit student’ doctors, academically excel, train well and work for 💰 but have a smaller sphere of influence in my opinion. We end up securing our place that’s mentally challenging plus financially rewarding.
Read 7 tweets
Jun 4, 2021
#violenceagainstdoctors
Doesn't make sense at all, but somehow feel compelled to.
What could it be due to?
1. It is Ok to hit someone:
Physical retribution for perceived wrong has been acceptable in our society (thrashing in schools/police with lathi/spanking kids for eg)
1/n
2. Bipolar perception of the profession:
Noble profession - not a job that should pay the bills (expecting anything in return for job well done makes it less noble)
Doctors deified (can perform miracles, bring back from dead) + vilified (fleece patients, take cuts, looters)
3. How dare they make money?
We celebrate young techies, IITians making big money: they are meant to.
Doctors - no!: It is ok if they make some, but we really don't like them making a lot
An entrepreneur hitting gold - must be a genius
A doctor well off - must be fleecing
Read 17 tweets
May 22, 2021
Assuming #Children will be affected more in #COVIDThirdWave. We need to prepare
Uniform Rx approach
Upskilling providers
Better networking of pediatric beds
Capacity building
Leveraging telemedicine
Prioritising more vulnerable
Registry of pediatric covid
Taskforce
Uniform treatment approach:
@iapindia and @nnfindia already have good protocols in place. We need all practicing pediatricians sign up to it. Any deviation has to be made consciously, discussed with family and peers. Exceptions should be the exception not the rule
Upskilling of GPs and Pediatricians
Triage, systematic approach, early pick up of danger signs, appropriate use of investigations, 1st responder management/stabilisation to ensure good outcome
Case scenario based &
Simulation based learning can be effectively put to use
Read 10 tweets
Apr 18, 2021
Some of us are back. Although we are doing good work by individual patients we look after building a healthcare system fir the nation is a different ball game.
Few points
1. Healthcare is not an election issue, politicians will not prioritise it, budget allocation v low
2. Our govt run places are free at point of use, but inadequate, incompetent, poorly manned, not networked - patient is not the focus, bad outcomes are norm and accepted
3. Private sector is not homogenous very shoddy to the best possible Corporate hospitals maybe cutting edge and have best outcomes in the world. But these are businesses with investors prone to free market forces. Out of pocket expense without a good insurance cover is +++
Read 12 tweets
Jan 22, 2021
#medtwittter apparently #doctorbashing happening on twitter too!
My thoughts
1/n
1. Refuse exalted ‘you are demigod elevation’
2. If it’s a time critical/life death situation do not hesitate for a second (if can make a difference)
2/n

3. Do not ‘undersell’ by ‘discounting’ / free follow up /packages
4. Respect your time and space - late evenings and Sundays are for rounding and emergencies
3/n

5. Pvt healthcare is picking up not just business but the burden of an inadequate (sham of a) universal healthcare - but the public will never hold govt responsible

6. Never call it service and never call it a business either: It is a highly skilled job, period
Read 5 tweets

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