Make it mandatory for all hospitals to declare number of Caesarean deliveries #SafeBirth

The Issue

Caesarean deliveries have become a business. The hospitals and doctors are making money off unsuspecting women and pushing them towards surgical deliveries.

Even though serious complications were not detected, I was cut open to deliver my baby. I wanted to have a natural birth but had to undergo a C-section as it was presented to be more ’scientific, modern and risk-free’. I was misled, manipulated, confused and my choice was overriden. For many of us, the right to informed-refusal or consent during childbirth is hardly an option either due to lack of awareness or the high-handed attitude of doctors.

It was a long, painful, depressing recovery for me and when I looked into this issue, what I found was alarming.

India’s C-section rate is growing exponentially. The fact that private hospitals have a much higher rate of C-sections than public hospitals has a direct correlation to the fact that surgical deliveries cost so much more than normal ones in these facilities.

Recent studies show that C-sections lead to a higher risk of post-partum depression and lower breastfeeding rate in women and diseases like obesity and diabetes in children. Despite its adverse effects on maternal and child health, hospitals and doctors are indiscriminately conducting C-sections to make more money. To discourage this trend, women need to be made aware of the C-section rates of different hospitals and maternity homes, so that they can choose their hospitals carefully.

That’s why I, with support of the NGO Birth India, started this petition asking the Women and Child Development ministry to issue an advisory to the Medical Council of India to

  • Make it mandatory for all doctors and hospitals to declare the percentage of Caesarean delivery rates to patients.
  • Conduct enquiry against those with abnormally high C-section rate.
  • Frame clear guidelines for conducting Caesarean to safeguard the health and rights of women and children

World Health Organisation (WHO) norms prescribe that C-section deliveries should be ideally 10-15 per cent of the total number of deliveries in the country. However, in urban Telengana, 74.8% of the private sector deliveries are by C-section and it is as high as 41% in Kerala and it is 58% in Tamil Nadu, according to a report by the ICMR School of Public Health.

It is important that even women are made aware of the impact of Caesarean sections, which truly is an emergency recourse and not a routine medical procedure. The fact is that only 10% of births should be via C-section, however, in Indian private hospitals that rate is close to 50%. This is a serious health risk and the government has to take action NOW!

Sign my petition and ask the Women and Child Development ministry to end this harmful practice by hospitals.

Image Courtesy: abdn.ac.uk

avatar of the starter
Subarna GhoshPetition Starter

3,91,092

The Issue

Caesarean deliveries have become a business. The hospitals and doctors are making money off unsuspecting women and pushing them towards surgical deliveries.

Even though serious complications were not detected, I was cut open to deliver my baby. I wanted to have a natural birth but had to undergo a C-section as it was presented to be more ’scientific, modern and risk-free’. I was misled, manipulated, confused and my choice was overriden. For many of us, the right to informed-refusal or consent during childbirth is hardly an option either due to lack of awareness or the high-handed attitude of doctors.

It was a long, painful, depressing recovery for me and when I looked into this issue, what I found was alarming.

India’s C-section rate is growing exponentially. The fact that private hospitals have a much higher rate of C-sections than public hospitals has a direct correlation to the fact that surgical deliveries cost so much more than normal ones in these facilities.

Recent studies show that C-sections lead to a higher risk of post-partum depression and lower breastfeeding rate in women and diseases like obesity and diabetes in children. Despite its adverse effects on maternal and child health, hospitals and doctors are indiscriminately conducting C-sections to make more money. To discourage this trend, women need to be made aware of the C-section rates of different hospitals and maternity homes, so that they can choose their hospitals carefully.

That’s why I, with support of the NGO Birth India, started this petition asking the Women and Child Development ministry to issue an advisory to the Medical Council of India to

  • Make it mandatory for all doctors and hospitals to declare the percentage of Caesarean delivery rates to patients.
  • Conduct enquiry against those with abnormally high C-section rate.
  • Frame clear guidelines for conducting Caesarean to safeguard the health and rights of women and children

World Health Organisation (WHO) norms prescribe that C-section deliveries should be ideally 10-15 per cent of the total number of deliveries in the country. However, in urban Telengana, 74.8% of the private sector deliveries are by C-section and it is as high as 41% in Kerala and it is 58% in Tamil Nadu, according to a report by the ICMR School of Public Health.

It is important that even women are made aware of the impact of Caesarean sections, which truly is an emergency recourse and not a routine medical procedure. The fact is that only 10% of births should be via C-section, however, in Indian private hospitals that rate is close to 50%. This is a serious health risk and the government has to take action NOW!

Sign my petition and ask the Women and Child Development ministry to end this harmful practice by hospitals.

Image Courtesy: abdn.ac.uk

avatar of the starter
Subarna GhoshPetition Starter

The Decision Makers

Devendra Fadnavis
Chief Minister, Maharashtra
Responded
Dear Change.org family, Today, I have launched my verified Decision Maker profile on Change.org. Now on, I will be officially engaging and responding to petitions from you. I am told that my verified Decision Maker profile on change.org will put me in a league of very big people. It is not just about entering a league, it is about making the right decision. It is a big responsibility to respond to the needs of the people. From the Government's side we have always been proactive and responsive because we believe as a Government we need to not just be responsible but also responsive. For any petition that comes on Change.org that is related to the Government of Maharashtra we will always be on the side of the people. We will be proactive and take decisions as early as possible. The first petition I received from Subarna Ghosh is on increasing transparency on Caesarean deliveries in Maharashtra. We will set up a joint committee to create Standard Operating Procedures. The committee will consider what is required to be done - whether it is an SOP or change in law at the earliest. I would like you to remain updated about the work done by the Government of Maharashtra. -Please follow us on twitter twitter.com/Dev_Fadnavis -Please also follow us on our Facebook at facebook.com/devendra.fadnavis/ Thank you, Devendra Fadnavis Chief Minister of Maharashtra
Maneka Gandhi
Member of Parliament, Sultanpur
Responded
Dear People, I am in receipt of a petition on Change.org initiated by Subarna Ghosh from Mumbai. She brings to my notice that lakhs of people are concerned about an important issue related to maternal health - the alarming rise of Caesarean deliveries in the country in recent years. The petition raises some serious questions and shows that C-section surgeries in our hospitals are almost becoming a scam. I am writing to the Ministry of Health to urgently look into this matter. This issue has a direct linkage not only with the cost of health care but with the health of women per se. Obviously doctors on the ground are playing with the health of prospective mothers and their new born children. The Health Ministry under Shri Nadda ji has just recently taken up a commendable initiative of reducing the cost of stents. I am requesting them to take up this matter also, on priority. Many approaches are required to tackle this problem. One of them clearly is to mandate hospitals and nursing homes publicly display the number of c-section deliveries vis-a-vis normal deliveries. In collaboration with the Health Ministry, the WCD Ministry plans to undertake a large outreach campaign with the Medical community as well as prospective mothers. I would like you to remain updated about the work done by the Ministry of Women and Child Development. * Please follow us on twitter @ministrywcd and @manekagandhibjp. * Please also follow us on our Facebook page facebook.com/manekagandhiofficial & facebook.com/ministrywcd Thank you, Maneka Sanjay Gandhi Union Minister for Women and Child Development
Mamata Banerjee
Chief Minister of West Bengal
Uddhav Balasaheb Thackeray
Former Chief Minister of Maharashtra
Supriya Sule
MP, Nationalist Congress Party

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