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  • Sumanta 12:00 PM on March 13, 2017 Permalink |
    Tags: , , , Pregnancy, section,   

    Why cesarean sections are rising in private practice in India? 

    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.

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  • Sumanta 7:32 PM on May 20, 2015 Permalink |
    Tags: , Pregnancy,   

    Pregnancy vaccines 

    Vaccines that are recommended in pregnancy include hepatitis A, hepatitis B, inactivated influenza vaccine and Tdap.

    Certain other vaccines are sometimes recommended depending on various health requirements of some individuals. 

    Vaccines should not be used) in pregnancy are mostly the live vaccines like MMR vaccine , live attenuated influenza vaccine (used as nasal spray), varicella vaccine, zoster vaccine, BCG vaccine etc.

    Recently another vaccine is making its place in the list of recommended vaccines for pregnant women, the whooping cough vaccine. (link)

    English: This is CDC Clinic Chief Nurse Lee An...

     
  • Sumanta 6:53 PM on July 22, 2014 Permalink |
    Tags: , , , Pregnancy,   

    Do you need to change asthma medications, during pregnancy? 

    Generally change of common asthma medications are not required, however, a consultation from your doctor in this regard is important. Most medications used in asthma are considered safe in pregnancy. Steroid based medications too are well tolerated. 

    For all your health concerns please be guided by your health care provide and not this blog.
     
  • Sumanta 1:24 PM on January 10, 2014 Permalink |
    Tags: , delayed, , , , pill, Pregnancy,   

    Do periods get delayed after emergency contraceptive pills? 

    After using emergency contraceptive pills menstrual period (i.e. menses) may fluctuate and can be delayed up to few weeks. However,  periods might happen early too.

    medications-cure-tablets-pharmacy-51114.jpeg

    P.S.- This blog is not for professional medical advises of any sort. The information herein may not be error-free. For all your health concerns please visit your health care provider.
     
  • Sumanta 10:18 AM on January 4, 2014 Permalink |
    Tags: , , Muscle, Pregnancy, ,   

    Vitamin D increases children’s muscle power 

    Today lets talk about the wonder vitamin, Vitamin D. This vitamin is known for improving bone health by increasing mineralisation of bone.

    This vitamin utilizes calcium we ingest effectively to make it available for bones.

    But where from do you get this vitamin? Broadly you can get this vitamin from 2 sources one is the sunlight (which provides the D2 variant of vitamin D), and food products gives you the D3 component of vitamin D). Food products like oily fishes are rich sources of vitamin D. (More …)

     
    • Edith J. Villacorta 11:07 PM on August 9, 2015 Permalink | Log in to Reply

      Vitamin D is one of the fat soluble vitamins. It is also called the sunshine vitamin because it is produced in skin in response to sunlight. If we start taking vitamin D at a very early age then we become more relaxed against vitamin D deficiency. We need 3 tablet of 20 mcg per day to fulfill our requirements, we can also take vitamin D supplements in stead of tablets and it doesn’t have any side effects.

      Like

  • Sumanta 11:02 AM on August 28, 2013 Permalink |
    Tags: , , Pregnancy, Weight Management,   

    Pregnancy & weight control 

    In this era there are talks related to obesity of various types adult obesity, childhood obesity, teenage obesity etc. One interesting form is pregnancy related obesity. Obviously gaining some amount of weight during pregnancy months is natural but too much of it may not be good too. Excessive weight gain during pregnancy can cause various problems in to the mother and baby. Mother may get a complication called preeclampsia, in which blood pressure is higher than normal and also proteins get excreted via urine. Furthermore the mother may continue to be obese even after the pregnancy is over and may have to deal with its own consequences. On the other hand the baby will be more prone to develop childhood obesity. Therefore a good control on mothers weight during pregnancy is essential. For better control of body weight latest studies suggest to stay active throughout the day. In literate world today pregnancy is honored and overvalued and which probably leads to over-care. In common mans dictionary good care mostly equates a plenty of bed rest although that may not hold true every time.

    Henceforth, trying to maintaining an active lifestyle throughout the pregnancy months may be the most wise step to have a good control over body weight. Finally check out with your health care provider how much activity is appropriate for you.

    What scientists call "Overweight" ch...

    What scientists call “Overweight” changes with our knowledge of human health

    Please cross check information from other sources too. For all your health concerns please be guided by your healthcare provider. References: http://www.nlm.nih.gov/medlineplus/news/fullstory_140031.html

     
  • Sumanta 7:08 AM on July 19, 2013 Permalink |
    Tags: Antibody, , , , MRI, Pregnancy   

    MRI in autism detection and prevention 

    The list of what causes autism is enlarging rapidly. Recently various environmental factors were blamed too, like pollution. Interestingly the new in this list are antibodies. Like various diseases autism too is suspected due to mother’s antibodies (auto-antibodies) which attack the brain proteins of fetus (when a baby is in mother’s womb its called fetus). Maybe tomorrow autism will be listed in the list of immunological diseases. This may help in future to develop a diagnostic test which can identify this antibodies early in the pregnancy to take appropriate preventive steps to protect a child before taking birth with the burden of autism .

    There is another new addition in autism encyclopedia. According to a new study MRI (Magnetic resonance imaging) studies may also predict future chances of autism in infants by detecting the amount of extra fluid around their brains. However, as of now such MRI will only let us know at earlier time (but after birth) if the baby is going to acquire autism in future but not much probably can be done to prevent autism from occurring. Rather if the autoantibodies can be detected much earlier in pregnancy abortion like steps may become a future possibility towards an autism free world.

    English: A boy with autism.

    For all your health concerns please be guided by your healthcare provider.  Please cross check information from other sources too. Reference: link1 , link2

     
  • Sumanta 6:45 AM on July 13, 2013 Permalink |
    Tags: , , Human breast milk, , Lactation, , Pregnancy,   

    Breast milk decrease in prediabetes 

    After the pregnancy is over many mothers face a problem of decreased breast milk production and can’t feed their newborn fully. There are various myths associated to this too. Interestingly breast milk production seems to be connected to the mothers health directly. New findings suggest that female breast during lactation can produce such huge quantity of milk with the help of a hormone connected to diabetes, i.e. insulin. Insulin is a hormone made in our pancreas, which plays role in introducing protein, fat and carbohydrate in the breast milk since it has anabolic role (i.e. storage type role, insulin stores fat, protein and sugar instead of degrading them).

    Therefore, if a women is prediabetic her insulin function will be abnormal hence the amount of breast milk produced might decrease too. So if the prediabetes is taken care of in time, nourishing the baby might not be a problem. Simple steps of diet and exercise may ease the situation a lot. Even if you have diabetes don’t self medicate yourself since diabetic drugs are harmful for the baby and only a specific one is used henceforth, approach to a doctor to seek expert help.
    A baby having milk from a bottle.

    Please cross check information from other sources too. For all your health concerns please be guided by your healthcare provider. References: http://www.nlm.nih.gov/medlineplus/news/fullstory_138459.html

     
  • Sumanta 8:45 AM on June 23, 2013 Permalink |
    Tags: Adolescence, , , , Hearing loss, Pregnancy, ,   

    Did your mom smoke when you were in? 

    Many women don’t take their doctor’s advice seriously and continue to smoke in their pregnancy. Common problems that occur if  the mother smokes or gets exposed to some other individuals regular smoking during pregnancy are miscarriage, sudden death of an infant (called SIDS), baby born with low birth weight etc. Now the list of health side effects seem to be increasing and according to a new finding the effects of smoking in pregnancy can be seen even in our adolescence.

    Many teens today have hearing loss (may be in small amount) which may be due to their mothers smoking habit when they were in the womb. Smoking by mothers may cause some amount of hearing loss to their child in their adolescence. For those who are already affected by such hearing loss, probably the events can’t be reversed in their life time but those who are pregnant now or planning to get pregnant in future can surely take concrete steps to avoid all sort of smoke exposure to the life they are carrying in their womb.

    New scientific findings are probably focusing on the fact that many of our health related sufferings have started before we are actually born. We can try to do our best as humans to safeguard our future generations by little bit of discipline and access to appropriate health informations. Therefore a pregnancy should always be guided by a certified doctor and adhering to their advice. Pregnancy is probably a type of responsibility to be carried out with respect and with care for the sake of the unborn.

    Other pregnancy related items can be found at the following link: PREGNANCY 
    Pregnancy-and-second-hand-smoke

    Pregnancy-and-second-hand-smoke

    Please cross check information from other sources too. For all your health concerns please be guided by your healthcare provider. Reference: http://archotol.jamanetwork.com/article.aspx?articleid=1699728
     
  • Sumanta 7:54 AM on June 20, 2013 Permalink |
    Tags: , , Pollution, Pregnancy,   

    Autism and Pregnancy site 

    Which is a perfect place for a pregnant woman, polluted urban areas or clean pollution free rural/urban areas? Common sense, probably pollution free places are good. Why breaking this topic today, it is not unknown to anybody that pollution if bad for human health. Well a new association has been found between pollution and autism. Studies show that spending the pregnancy months in smoggy polluted areas can be linked with autism of the newborn (although the risk seems to be low). So planning a vacation during pregnancy months away from major polluted cities may be wise, although might not be possible  always.

    English: Smokestacks from a wartime production...

    For other autism related posts please try this link: autismPlease cross check information from other sources too. For all your health concerns please be guided by your healthcare provider. Reference:http://www.nlm.nih.gov/medlineplus/news/fullstory_137915.html

     
    • Ann Kilter 8:07 AM on June 20, 2013 Permalink | Log in to Reply

      I’ve often thought that pollution has something to do with autism.

      Like

      • Dr. Sumanta Saha 12:11 PM on June 20, 2013 Permalink | Log in to Reply

        Hi Ann,
        Welcome to Health & Happiness! blog.
        Yes pollution probably have links with a huge list of diseases these days, primarily with cancers. Since the diversity of types of pollutants are increasing, the number of diseases associated to those are too rising. Now a days we hear a lot about pesticides use which are also a type of pollutant of our crops and all over the world willingly or unwillingly we are exposed to these pollutants.
        Anyway, thanks Ann!

        Like

  • Sumanta 7:47 PM on April 23, 2013 Permalink |
    Tags: , , Pregnancy, , Teenage pregnancy,   

    Teenage pregnancy and obesity 

    Since decades medical professionals and common man argued on the issue about the correct age to get pregnant and most importantly about teen pregnancy. Lets first look into the small piece of  statistics to understand its impact- according to an UNICEF report in 2001 teenage birth rate of USA is 52.1 which is the highest in the whole developed world. Among the European nations England has the highest teenage birth rate. About 1.25 million teenagers become pregnant in every year in the OECD (Organisation for Economic Co-operation and Development) countries they studied. (Reference: link)

    Teenage pregnancy not only impact the teen mother physically, socially and  economically  it appears to have a long term impact on the women’s health. Recent studies show mothers who became pregnant before their twenties are more likely to be obese latter in their life. Obviously its worth mentioning that obesity is one of the worst epidemic in current world that not only is sometimes a stigma but can affect the health harshly and might might not show any mercy and kill people by means of a heart attack, stroke, diabetes etc.

    I don’t want to stir the debate of teenage sex is good or bad, but since teenage pregnancy can have certain negative impacts thinking and knowing about it properly beforehand might be a wise way to deal with it. Talking to a trusted adult like parents, teachers and consulting a doctors to explore teen pregnancy and contraceptives might help pace the rhythm of life in perfect rhythm.

    Other pregnancy related articles by this author: PregnancyLink

    Illustration from below book

    Bar Chart showing Teenage Birth Rates in 2006 ...

    Bar Chart showing Teenage Birth Rates in 2006 in comparison with other rich nations.

    Please cross check information from other sources too. For all your health concerns please be guided by your healthcare provider. References: www.nlm.nih.gov/medlineplus/news/fullstory_136097.html, http://www.unicef-irc.org/publications/328

     
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