The World Health Organisation Has Called For a Reduction in C-Sections

The World Health Organisation Has Called For a Reduction in C-Sections

There is emerging evidence that babies born via C-section have different hormonal, physical, bacterial and medical exposures during birth, which can subtly alter their health.

It's a life-saving intervention, meant to be used when complications would make a conventional delivery unsafe to either the mother or child, but is increasingly used as a regular, scheduled procedure.

"Pregnancy and labour are normal processes, which occur safely in most cases".

However, it is estimated that between 10% and 15% of all the cesarean section births are necessary for medical reasons.

'In many of those countries, however, richer women who live in urban areas, have access to private facilities have much higher C-section use'.

The South Asia region has seen the most rapid increase in use (6.1 per cent per year), with C-section being underused in 2000 but being overused by 2015 (increasing from 7.2 per cent of births via C-section to 18.1 per cent).

While the life-saving surgery is still unavailable for many women and children in low-income countries and regions, the procedure is overused in many middle- and high-income settings, said researchers, including those from Ghent University in Belgium.

The authors suggest that this could be explained by persistent issues with shortages in health facilities and staff in vulnerable and rural populations.

"In cases where complications do occur, C-sections save lives", Temmerman said, "and we must increase accessibility in poorer regions, making C-sections universally available".

India 308-4 at stumps in 2nd West Indies Test
The wicket of Gabriel was Yadav's fourth of the innings and he also picked up six wickets in the first innings. Holder first got one to rear up from back of length to shatter Rahane's dreams of a 10th Test hundred.

The researchers also warned that in many settings young physicians are becoming experts in C-section, while losing confidence in their abilities to assist in vaginal birth.

While often lifesaving, C-sections aren't without risks, cautions the Lancet report.

Some of the possible risks associated with c-sections may include bleeding, blood clots, surgical injuries to the mother's organs, infection, injury to the child, increased risks in future pregnancies, adverse reactions to medications, and breathing problems for the child especially when born before 39 weeks of pregnancy.

It also leads to scarring of the womb, which is associated with bleeding, abnormal placenta development, ectopic pregnancy, stillbirth, and preterm birth in any subsequent pregnancies.

Nearly 30 million C-sections were performed globally in 2015, accounting for 21% of all live births, according to World Health Organization and UNICEF data published Thursday in the Lancet.

"Cédric Grouchka, member of the College of the French High Authority of Health, speaks of "downward stabilization" and makes a distinction between "caesareans performed in a hurry, either after a delivery that goes wrong or during work - which correspond to 60% of the total in France - caesareans scheduled for medical reasons (40%) and those programmed for a non-medical reason, at the request of women", which he estimates to" less than 1% ". One study dealt with disparities around the world. But like any surgery, this one comes with its risks.

"The medical profession on its own can not reverse this trend", he said. The situation has led gynecologists to question this "epidemic", as reported in a report published Friday in the British scientific journal The Lancet.

The World Congress of Gynecology and Obstetrics (FIGO) advocates several measures to limit the abuse of caesareans: to apply a single rate for births, by caesarean section or not, to force hospitals to publish their statistics, to better inform women of the risks and improve training in natural birth.

They also target healthcare professionals, calling for mandatory second opinions and the introduction of clinical practice-based guidelines for when caesarean births are recommended.

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