The Government has
taken several steps to ensure that the unwarranted increase in C-Section
surgeries can be kept in check.
The Minister of Women and Child Development, Smt. Maneka Sanjay Gandhi,
had expressed concern to the Union Health Minister in February 2017
about the unusual increase in recent years in C-Section surgeries
reported from different States. Smt. Gandhi had pointed out that while
the recommendation of WHO suggests that deliveries through C-Section
should normally be in the range of 10-15% of the total deliveries, some
States are reporting extremely high percentages. Tamil Nadu reported
this to be 34% and Telangana 54%. She had further stated that it is
worrisome that the percentage was even higher for the private nursing
homes across the States.
In response to the letter of WCD Minister, the Union Minister of Health
and Family Welfare, Shri J.P. Nadda has stated that the concerns
expressed are well founded and the Health Ministry is taking a series of
measures to control this increasing trend. As a first step, all the
private hospitals empanelled under CGHS have been directed by the Health
Ministry to prominently display the data of deliveries through C-Section
vis-à-vis normal deliveries in the hospital, at the reception area. A
report titled “Deciphering the Determination and Impacts of Rising Rate
of C-Sections and offering Potential Solutions” has been disseminated to
all State Governments and UT Administrations to effectively get them to
provide C-Sections only to those women who actually require it.
Federation of Obstetric and Gynecological Societies of India (FOGSI) has
also been sounded off about the harmful effects of unwarranted
C-Sections. In addition, the States have been directed to conduct
periodical prescription audit of the health facilities specifically on
Smt. Maneka Sanjay Gandhi, Union Minister for Women and Child
Development has thanked the Health Ministry for taking up this issue and
issuing necessary directions to all concerned. She also expressed hope
that these measures would help in bringing out the rate of C-Section
deliveries back to the realistic levels.