Cesarean Section Audit Plan for Government Facilities | Kolkata News

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KOLKATA: After a CT scan on cesarean delivery in private hospitals, the state health department decided to roll out an audit of cesarean section in public health facilities.
Health officials said this was done to discourage irrational cesarean deliveries and improve the maternal mortality rate in Bengal.
All hospitals were asked to register each cesarean delivery and submit such an audit on a monthly basis.
“This is to curb the upward trend in caesarean deliveries. While some women will need this mode of delivery for clinical reasons, others should be encouraged for vaginal delivery, an official from the health department.
According to the health department circular to all medical college MSVs, district CMOHs and Kolkata District Family Welfare Officer, Bengal is among the states with the highest C-section rates. . While the national average is 21.5% in public sector hospitals in Bengal, it is 34% in public hospitals.
Health department sources said that in Kolkata itself, most medical colleges around 50% of child births are by caesarean section, while district medical colleges still have between 25 and 30%. . In private health facilities, it fluctuates between 80% and 100%.
“In many cases, it is the patient himself who wishes to undergo a caesarean section. If we start counseling pregnant women and their families at antenatal visits if the pregnancy is not high risk, we could significantly reduce the number of cesarean deliveries. The decision of the health department is positive, said a gynecologist from a medical college in Kolkata.
According to data from the Sample Registration System, Bengal’s MMR rose to 109 per one lakh live births in 2017-2019 from 94 in 2015-2017. From 2016 to 2018, it was 98.
Health experts have said that while a medically justified caesarean section can effectively prevent maternal and perinatal mortality and morbidity, it can negatively impact maternal and child health in other cases. Judicious caesarean delivery is also part of the LaQshya (labour room quality improvement initiative) of the Ministry of Health.
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