WHO concerned about the rising instances of Caesarean deliveries across the globe – particularly in middle and high income countriesChris Middlebrooks (Author) Published Date : Apr 11, 2015 23:35 IST
The World Health Organisation that Caesarean delivery of surgical childbirth is growing across the globe and particularly so in middle and high income countries. WHO stated that it is concerned about the possible abuse of this important life-saving surgery.
When justified medically, the WHO is a staunch supporter of C-Section delivery because the procedure can save lives. However, when Caesarean section is performed in the absence of a medical need, it puts the babies and mothers at potential risk including short/long term health problems.
Health experts have, since 1985 considered that between 10 and 15% would be the ideal rate of C-sections. New studies show that when the rates dip below 10 percent it could potentially lead to more babies and mothers dying because of the absence to this life saving intervention. This is also borne out by data in Africa which reveal a linkage between low c-section numbers and high mortality rates.
Studies indicate on the other hand that there is no evidence to suggest that mortality rate improves with higher percentage of C-sections. Indeed, there can be no denying that C-sections can at times also have serious consequences.
Marleen Temmerman, the director of WHO s department of reproductive health and research tells VOA that a C-section is generally safe but health risks do exist.
The chance of a complication is not that high, but the risk, the mortality can be very serious, he said. You have like life threatening complications due to bleedings, most of them, but also other complications like thromboembolic risks are higher after surgery than after a vaginal delivery.
Dr.Temmerman also stressed that a C-section is advisable when there are problems associated with vaginal delivery or risk to the baby or the mother due to fetal distress, prolonged labour or an abnormal position of the baby for instance.
She added further that she is concerned about the significant increase in the number of C-sections that were performed unnecessarily both in developed and developing countries. She also stated that this epidemic of C-sections is genially driven by lifestyle issues.
For a gynaecologist actually it is easier to do a Caesarean section sometimes because you can plan your life. You call all your patients in, so to speak, for Caesareans, she said. Every day you do two Caesareans-one at nine, one at 10 in the theatre-no stress, no night duties, no call in emergencies or fetal distress or bleedings or whatever. So, you have a better life.
Dr. Temmerman further says that C-sections are also advantageous to hospitals since they are able to organize their work force in a better manner. As for the women, many prefer C-sections since they do not want the pain from vaginal delivery or may be concerned of the physical after effects.
WHO concerned about the rising instances of Caesarean deliveries across the globe – particularly in middle and high income countries