Correct Answer: Automatic
In the recent time, particularly in private practice the toll of cesarean sections are quite high in various parts of India. This author tried to speculate why cesarean sections are rising in India and here are the understandings of this author (which are also enriched by some real life experiences).
First question is whom to blame for this rising trend of C- sections in the private practice, the doctors or the patients. The answer might seem like to both, but I feel doctors. Why? Some people might cite that the ladies today are too softie and want everything smoothly with out undergoing the labor pain. But I feel that it’s not wrong for a woman to avoid pain of all sort in life and even labor pain. Besides alleviating pain, since family sizes are shrinking these days and becoming restricted to 1 to 2 children a vaginal delivery might be perceived as risky health practice by some pregnant mothers and their families, who feel cesarean can be a safe alternative to achieve a complication free birth.
The point to understand in this regard is that patients can actually demand anything based on their understandings, but that shouldn’t be an alibi for doctors to incise a woman’s tummy. Ethically doctors are supposed to explain the pregnant lady and her family about the pros and cons of the cesarean section and also stating when such an operation is really indicated. Unfortunately, these ethical issues are only limited to legal papers and texts with not much real life utilisation. Therefore, in my opinion the doctor should explain clearly the issues of delivery with out any word game during conversation to bend the patient and her family members mind set towards an unnecessary cesarean section.
Next question is why doctors in private practice incline more towards a c-section. I feel ‘money making’ will be a partly correct answer, a better phrase would be ‘easy money making’. When a doctor opts to do a cesarean section he doesn’t need to monitor the patient for long hours (unlike normal vaginal delivery). For long hours of observation, more staff are needed and more time needs to be dedicated, which counts as a negative feature for private practitioners. Not only that for conducting normal vaginal delivery doctors need to be available 24×7 because a pregnant patient may go into labor anytime, and private practitioners wouldn’t probably prefer to compromise their nights sleep regulalrly for their entire life, unlike their days when they worked as a resident trainee doctors. Elective cesarean is just like regular outpatient practice, where the cesarean operation can be done at any time convenient to both the doctor and patient.
A third query can be why then women who want a normal delivery with no indication for cesarean section voluntarily go to the government run hospitals where normal delivery is generally offered for eligible cases. This is a complex issue to answer. Many people don’t find the state run hospitals clean and hygienic enough. These hospitals are often accused for baby missing complaints after delivery. Sometimes, cats and other non-human species can find their way inside the hospital wards, and this author witnessed such multiple times. Unlike private practice setup where a woman can get treated under a particular obstetrician of her choice, in state funded hospitals less likely all women will be delivered by senior experienced obstetricians and things might worsen particularly in night time when the lonely unsupervised trainee doctors makes a mess of situations like when shoulder of a baby which gets stuck in birth canal or the mother starts bleeding uncontrollably. Statistics is always good on paper and presentation, but in real life the loss of life or permanent complication of a mother and/or her baby is cent percent for that individual and her family. Its not wrong for a pregnant female to get delivered under skilled confident doctors rather than unsupervised learners. And at this particular point a cesarean section in private is possibly justified unless the government can make any drastic change in the trend.
Lastly, what can be the solution to avoid the unwanted indication-less c-section problem. Bringing in strong laws is obviously an option to compel private practitioners to follow the conduct of medical ethics. Besides that the country should adopt better recruiting, training and licensing system for doctors from nations that are best in obstetrics care in the world. Also the patients and their family members should be made aware about the wrong doing of unnecessary cesarean sections, so that they can demand a normal delivery when there isn’t any indication for Caesarean section. Furthermore, patients should be given legal right to record their doctors counselling about what mode of delivery should they choose so that at a latter time they can take it to the court as a piece of evidence.
Let’s hope, some day the social media loving policy framers will start tweeting on this topic too to get fame (which seems too delicious to them, ‘the Narcissistic farts’), and bring in some fragments of happiness to their citizens.
P.S.: Views and opinions expressed in this post are author's individual, not meant to hurt anyone in any form. If such has happened unknowingly, please understand it as a mere accident and not intentional.
I first heard about ‘Drones’ when I witnessed their use in warfare and spying, in television news. Then in movies and recently read in news websites about its potential usage for delivering courier or online shopping items to our doorsteps. Although, a lot of arguments are ongoing about the possible misuse of drones in freight of goods by online shopping companies, some are even imagining about its possible future use in daily commuting of humans.
If drones are to be used in future for our daily commute to office, developing nations in particular will be benefitted, in my view. Why? Let’s discuss it in terms of a city like Mumbai in India, where roads are clogged up with suffocating traffic and where bike riders and three wheeler rickshaws are in a competition to prod their front wheel in every small gap they find in the heavy traffic to beat other vehicles in the race of reaching earlier to their destinations (however, unless you have been in such roads you can’t get the actual essence of it).
Easiest way to travel in such traffic congested cities is through the railway, however the rails don’t propel you to every minuscule destinations beyond the capacity of its tract, and in most days during office hours you may prefer to avoid its hefty rowdy crowd. Since such cities are grossly unplanned and have no much space for new mega transport infrastructure to introduce, drones may be a sort of swift relief form the burly stifled crowd and may also serve as the fastest mode of transport in such busy metros. If drone technology keeps accelerating in the current pace in near future we might find such drones instigated for common man’s commuting. We might see structures like buses with four propellers at four corners of its roof being lifted up and moved on towards it destination.
So much so is about use of drones for public transportation purposes. But if it gets allowed, which might eventually be someday, that any individual can own a drone and drive it like a cab or rickshaw for carrying passengers or like bikes or cars for personal usage, to reach their precise destinations, what will be its aftermath keeping in mind how real traffic situation is on the roads. Seeing the current reckless, mercy less, unorderly, chaotic and traffic law undermining driving of drivers in most major cities in metros of developing nations, it is quite horrible to even think about the probable rampage that can happen in the air when these set of drivers are permitted to fly drones.
If you ever witnessed, some of the notorious vehicle-overcrowded traffic signals in cities of developing nations, you can find how almost every driver gets busy trying introducing the front part of their vehicle in every little space available on the roads worsening the jam to its zenith. And at the very split second the traffic signal becomes green the first row of traffic run in almost a windy speed as if they are chasing an Olympic medal to reach the next traffic signal. Simultaneously, in urban metropolitans of third world nations, its not uncommon to see the disrespect of drivers towards pedestrians, who just almost ram on pedestrians mercilessly and some even crawl up their vehicles on the pavement. To worsen the anguish of pedestrians further its not unusual to see pavements preoccupied by illegal constructions like shops or extension of houses, parked scooters, non tax paying street canines etc. On the other hand, some pedestrians are also blamable for their reckless traffic rule defying behaviors particularly while crossing roads with head phones plugged in their ears.
So if such traffic law disobeying attitude drivers take up drone flyer’s control seat some unimaginable spectrum of consequences might pour in. To sketch few, some drone drivers my collide with sky scraping buildings (commonly found in metros of developing nations), while other might end up in drone-drone collision or alike aircraft crashes may plough into traffic beneath on the roads. A solution may be to introduce licensed pilots (truly licensed, unlike those driving licenses easily obtainable in some corruption corroded countries), like aircraft pilots. But a drawback of such commercial pilot recruitment might be the difficulty to monitor such huge pool of pilots, if drone are to used in future like bike, taxi, rickshaw or bus. However, if the drones are unmanned like those automated cars recently introduced by one of the famous internet search engine company an orderly drone traffic system may be possible to achieve.
Now one can definitely rise a question, why am I targeting third world countries with stickers of rampage driving in traffic, aren’t there rash drivers in the developed nations. Yes in the later too we can find traffic law infringers, but there are certain concrete differences from the former to understand. In developed nations, primary reasons why the traffic is not most of the time clogged to such extremes as in third world’s urban roads are the better planned traffic handling, good road construction and mapping and attitude of majority of people to stick to traffic rules. Moreover, the CCTV’s are mostly fully functioning and are systematically monitored in the west, where a driver who violates traffic rule if caught on camera faces the legal consequences, which is not the case in developing nations till date, grossly.
P.S. – This writing is based on the author’s individual observations, which is not necessarily true and agreeable to all.
Where does this story coins? Somewhere along the bay of Arabian Sea in about a stone throw distance away from the sea shore. I am relentlessly waiting for my clients who are yet to show up. It’s afternoon, the small hand of my watch just ticked to one. My present niche includes a small room from where through the tinted glass and over a heavy wire barbed fenced concrete wall, I can see the sea’s dark water splashing the boulders.
Today the view in this afternoon is bit different, the couples who generally are preoccupied on those boulders ashore busy making intimacy through engaging their wet lips are not present today, may be due to the scorching heat. But the weather’s warmth isn’t annoying my vision at all, because of the filthy spotted glass window.
Scads of children (boys) are bathing in the sea. Most looks like school students because they were wearing blue trousers and white shirts before dipping themselves in the sea water. Seeing this high water levels and these lonely unsupervised kids I was trying to recall the counter scenario at western nations where lifeguards along the coasts are deployed who keep an birds eye on those in the water. But here, along the shore of this developing nation probably ‘luck’ is their only lifeguard and life jacket. No-one cares apparently, except the parents and sometimes the latter too behave reluctant, as any other non human species where roles and responsibilities of parenting retires post breeding. Thankfully, during the entire timespan I scanned my vision in the sea, things were in favour of life and goodness.
While these kids were splashing themselves to beat the heat, about half a kilometre away from them an amazing play of some avian species were on motion. A huge flock of sea birds were spiralling above the sea water. They were combing over the sea water using their legs almost alike how we swipe credit cards at a shopping centre. Such natural extravaganza generally ignites a hunch in my brain try understand those phenomenon in absolute details, may be due to too much contemplation of nature and animal related TV shows. Probably those birds are fishing by their claws and hence making repeated attempts to scratch on the sea surface. I desperately felt the need of a telescopic camera through which I could have cropped and saved this piece of moment on my laptop. Sadly, we don’t always carry all accessories we require in our life, and is true in my case too. I appreciated the amazing skill of those birds of nailing through the surface of water with out (possibly) getting wet. It seemed like a small aircraft gently gliding over the surface of water and flying away. Unfortunately, we humans despite having the craziest brains can’t do such an act naturally, due the absence of wings. Nevertheless, the panorama was heart-warming indeed.
Oh, a client has come, I must return to my real time human life situation and come out of those floating expensive thoughts and plunge my head back into my work. So, let me pull over this writing here, for now.
‘Procrastinate’ means to delay or postpone activities which should be done, sometimes to avoid the unwanted outcomes.
Example – Government kept procrastinating the project until the pressure from its political opposition skyrocketed to its acme.