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17.2 percent deliveries by C-section, highest percentage in Andhra Pradesh : Health Minister Apprises Parliament

17.2 percent deliveries by C-section, highest percentage in Andhra Pradesh : Health Minister Apprises Parliament

WHO in its statement released in April 2015 states that at the population level, caesarean section rates higher than 10% are not associated with reductions in maternal and newborn mortality rates.

New Delhi: Caesarean Sections in the country are much above the WHO acceptable norm, according to statistics of the recent most National Family Health Survey.  The Minister of State (Health and Family Welfare), Sh Ashwini Kumar Choubey also apprised the parliament about the statistics through a written reply in the Rajya Sabha. The minister’s reply came in answer to the question raised on the issue of rising deliveries by caesarean section in the country

As statistics clearly point out, there has been a sharp increase in deliveries via C-section in the past decade. According to NFHS 4 (2015-16) survey data, 17.2% births are delivered by caesarean section while according to NFHS 3 (2005-06) survey data, 8.5% births are delivered by caesarean section.

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The minister also provided the statistics state wise,

Details of state-wise births delivered by caesarean section are given below:

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S.No. States Births delivered by caesarean section
India 17.2
1 Andaman & Nicobar 19.3
2 Andhra Pradesh 40.1
3 Arunachal Pradesh 8.9
4 Assam 13.4
5 Bihar 6.2
6 Chandigarh 22.6
7 Chhattisgarh 9.9
8 Delhi NCT 23.7
9 Daman & Diu 15.8
10 Dadra& Nagar Haveli 16.2
11 Goa 31.4
12 Gujarat 18.4
13 Haryana 11.7
14 Himachal Pradesh 16.7
15 Jammu & Kashmir 33.1
16 Jharkhand 9.9
17 Karnataka 23.6
18 Kerala 35.8
19 Lakshadweep 37.9
20 Madhya Pradesh 8.6
21 Maharashtra 20.1
22 Manipur 21.1
23 Meghalaya 7.6
24 Mizoram 12.7
25 Nagaland 5.8
26 Puducherry 33.6
27 Sikkim 20.9
28 Odisha 13.8
29 Punjab 24.6
30 Rajasthan 8.6
31 Tamil Nadu 34.1
32 Telangana 58
33 Tripura 20.5
34 Uttar Pradesh 9.4
35 Uttarakhand 13.1
36 West Bengal 23.8

Source: NFHS4 (2015-16)

Highlighting the steps taken by the Health Minsitry to address the issue, he stated

  • In this regard, a communication vide OM M.12015/182/2015-MCH has been sent to all the State Principal Secretaries and Mission Directors of all States and UTs urging them to share the WHO statement with all the Obstetricians and Gynecologists working in their respective states. In addition, the States have been suggested to conduct periodic prescription audits in private sector which could also be extended to the public sector.
  • The government of India also has written vide OM M.12015/182/2015-MCH to Federation of Obstetrical and Gynecologists in India (FOGSI) to share the WHO statement among the Obstetricians and Gynecologists under the umbrella of FOGSI.
  • 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. Health being a state subject, it is the responsibility of the state to effectively implement the act, however, the centre provides continuous guidance, strict monitoring and directives for the regulation of high caesarean section rates.
  • All CGHS empanelled hospitals are directed to display the information regarding ratio of deliveries by caesarean section vis-à-vis normal deliveries. A communication was sent in this regard vide OM Z15025/2017 to all the CGHS empanelled hospitals.

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Source: self

5 comment(s) on 17.2 percent deliveries by C-section, highest percentage in Andhra Pradesh : Health Minister Apprises Parliament

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  1. I just want to know if WHO knows what is \”MAHHURAT CAESAREAN\”? Have they read ENSURING TIME OF BIRTH AS SUGGESTED BY PRIEST an Indication of caesarean? before we discuss this issue any further. ….

  2. Government has many work and discussions to do in parliament other than this issue ,
    India is democratic country And people are let to decide, How they want to deliver their baby
    There are Always Prons & cons of each thing
    For cheep publicity this hope less politicians are raising issue like this,

  3. user
    Dr satendra kumar January 9, 2018, 3:11 pm

    Now a days , time has gone when every woman had 5-6 children in the hope that due to high child mortality 2-3 may not survive. Now every couple wants guarantee of a healthy new born without any risk to mother , so obstetrician are not in a position to take any risk. May be little but there is a population of women who want elective Caesarian section even on a particular date & time.

  4. user
    dr b v subrahmanyam January 9, 2018, 11:26 am

    cesarian sections are not done by quacks.They are carriwed out by qualified gynecologists. We had a teacher in gynecology who used to say that in future women may not like to deliver per vaginum and a demand for cesarians increases. It appears to be prophetic. Much can be said on both sides. There are many educated and economically forward people who desire cesarian deliveries. This is an ethical dilemma for the obstetecian gynecologists as to accept patient demand or carry on by force vaginal delivery, There needs to be a discussion on this issue.

  5. What about quacks? Let govt accept there are quacks. Then only then can act.

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