51% increase in unnecessary C-sections in Bangladesh

[bluesky]

You're not a physician so you have limited knowledge regarding the practice of medicine.

Prescribing cholesterol meds can be a part of diabetes management.

It is no reason that since I am not a doctor I am unfit to talk about the evil medicine practices by BD doctors that have resulted in million patients seeking help from Indian doctors who study profoundly instead of sitting on the prayer mats 12 hrs a day and do not incessantly talk vague abstract things.

Sure that cholesterol medicine is good for controlling diabetes. But, this medicine must accompany other diabetes medicines. But, the patient I am talking about was not prescribed medicines to lower his diabetes level which was running at level 27/28 although he was frantically walking 3 km every morning.

It was me who went through the painful process of going through a few of my own BD medicines (substitute meds as Japanese ones were short) and selected one or two. His sugar level came down to about level 9 within three weeks. His body muscles also started to strengthen after that. It was very risky for him but he accepted my opinion. I asked his understanding if something goes wrong.

Do you think it will ever happen in America where doctors study and do not spend on prayer mats 12hrs a day? I wonder what you are learning in America that you are comparing it with BD?

 

[Adam_Khan]

They were using it as a form of birth control in the UK, patients would be told that the maxium number of kids through c-sections is 3 before it becomes life threatening for the mother.

Bro in nhs we either advice men to have vasectomies or at the same time women use hormonal implants along with Intrauterine contraceptive devices,C section has never been advocated as a form of birth control and the only reason why tubes are ligated with consent after the 3rd C section is that there is great risk of uterine rupture during 4th pregnancy then the operation itself.

My wife is a consultant gynaecologist herself and I have heard about women wanting Caesarian sections just because they think a normal delivery will stretch their Vaginas or they want a section just because of the fear of pain during delivery.

 

[khansaheeb]

Bro in nhs we either advice men to have vasectomies or at the same time women use hormonal implants along with Intrauterine contraceptive devices,C section has never been advocated as a form of birth control and the only reason why tubes are ligated with consent after the 3rd C section is that there is great risk of uterine rupture during 4th pregnancy then the operation itself.

My wife is a consultant gynaecologist herself and I have heard about women wanting Caesarian sections just because they think a normal delivery will stretch their Vaginas or they want a section just because of the fear of pain during delivery.

It was a phase the idiotic NHS went through. They come up with a racist/snobbish idea try it and when it backfires they change their mode of operand-um.

 

[fallstuff]

Many women in the USA are afraid of the pain from a natural birth.

They will rather have the mark of the c section then the pain of natural birth.

 

[Adam_Khan]

It was a phase the idiotic NHS went through. They come up with a racist/snobbish idea try it and when it backfires they change their mode of operand-um.

No one will ever put a patient through an unnecessary procedure in Nhs just because the patient wants it,the risk of having a complication and then litigation is way too high.
In Subcontinent the sole reason for increased rate of c sections has more to do with the doctors and private hospitals who mint more money through these procedures.

PS same problem exists in Brazil itself.

https://america.cgtn.com/2018/03/02/the-surging-number-of-cesarean-section-births-in-brazil

https://www.washingtonpost.com/worl...ory.html?noredirect=on&utm_term=.5877ead5192d

 

[khansaheeb]

No one will ever put a patient through an unnecessary procedure in Nhs just because the patient wants it,the risk of having a complication and then litigation is way too high.
In Subcontinent the sole reason for increased rate of c sections has more to do with the doctors and private hospitals who mint more money through these procedures.

PS same problem exists in Brazil itself.

https://america.cgtn.com/2018/03/02/the-surging-number-of-cesarean-section-births-in-brazil

https://www.washingtonpost.com/worl...ory.html?noredirect=on&utm_term=.5877ead5192d

It was being imposed on the poor and migrants until there was a hooha and it was stopped.

 

[namefield_empty]

It is unfair to lay the blame solely on the doctors for the rising C-section epidemic. WHO itself recommends a three tiered targeted intervention for women, healthcare professionals and organisations/institutions.

 

[Avicenna]

It is no reason that since I am not a doctor I am unfit to talk about the evil medicine practices by BD doctors that have resulted in million patients seeking help from Indian doctors who study profoundly instead of sitting on the prayer mats 12 hrs a day and do not incessantly talk vague abstract things.

Sure that cholesterol medicine is good for controlling diabetes. But, this medicine must accompany other diabetes medicines. But, the patient I am talking about was not prescribed medicines to lower his diabetes level which was running at level 27/28 although he was frantically walking 3 km every morning.

It was me who went through the painful process of going through a few of my own BD medicines (substitute meds as Japanese ones were short) and selected one or two. His sugar level came down to about level 9 within three weeks. His body muscles also started to strengthen after that. It was very risky for him but he accepted my opinion. I asked his understanding if something goes wrong.

Do you think it will ever happen in America where doctors study and do not spend on prayer mats 12hrs a day? I wonder what you are learning in America that you are comparing it with BD?

What is level 27/28?

I have no idea what you are talking about.

Your post shows how uninformed you are to be honest.

But good on you for getting your friend better.

 

[namefield_empty]

But, the patient I am talking about was not prescribed medicines to lower his diabetes level which was running at level 27/28 although he was frantically walking 3 km every morning.

It was me who went through the painful process of going through a few of my own BD medicines (substitute meds as Japanese ones were short) and selected one or two. His sugar level came down to about level 9 within three weeks.

Pardon my intrusion, but couldn't help mention that this is a very dangerous thing to do. You don't simply prescribe one or two drugs, there are well laid down protocols for the same. It is much better to seek a second opinion if unsatisfied instead of self medications in such instances.

 

[Avicenna]

Pardon my intrusion, but couldn't help mention that this is a very dangerous thing to do. You don't simply prescribe one or two drugs, there are well laid down protocols for the same. It is much better to seek a second opinion if unsatisfied instead of self medications in such instances.

He's lucky his friend is ok.

It's insane what he did.

Ignorance truely is bliss.

 

[Adam_Khan]

It is unfair to lay the blame solely on the doctors for the rising C-section epidemic. WHO itself recommends a three tiered targeted intervention for women, healthcare professionals and organisations/institutions.

Bro I've worked as a surgeon in Pakistan before moving abroad and I've seen it all happen in front of my eyes. I have Indian colleagues at my workplace and trust me things are not much different there either except that India has a very robust private healthcare system.

 

[namefield_empty]

Bro I've worked as a surgeon in Pakistan before moving abroad and I've seen it all happen in front of my eyes. I have Indian colleagues at my workplace and trust me things are not much different there either except that India has a very robust private healthcare system.

Bro, i understand your point of view. But it's equally true that there's an increased demand of C-sections from the couples themselves and the obstetricians are merely catering to their demands. Most women don't want to go through hours of agonising labour pains and are ok with an abdominal scar in place of an episiotomy on the birth canal.

But if we look into the stats of India and Pakistan, elective CS is mainly opted by the affluent classes in cities and that's why our countries never feature prominently in the C-section epidemic list.

Lastly, private healthcare in India is too costly for the underprivileged to benefit from it. It is the comprehensive coverage of our public health care delivery system that sets us apart, though challenges persist.

 

[Michael Corleone]

let's come to the facts... bengali women are lazy to push though and so they opt for c sections when normal delivery is perfectly possible.... couple this with some women having small hips... on average the doctors won't even bother recommending delivery because they know what most people want....

Why your super qualified BD doctors could not treat a heart patient named (Minister) Obaidul Kader?

you do know there are many bangladesh based surgeons who go over to neighboring countries for critical heart surgeries yeah? that too a woman

 

[Republic]

Published on 12:00 AM, June 23, 2019
51% increase in unnecessary C-sections in Bangladesh

www.thedailystar.net/health/news/51-increase-unnecessary-c-sections-bangladesh-1761109%3famp

Star Health Report
Bangladesh is facing a massive boom in the number of medically unnecessary Caesarean section, commonly known as C-sections — between 2016 and 2018 the number of operations increased by 51 percent, new figures released by Save the Children reveal. The country saw an estimated 860,000 of these unnecessary operations last year, while up to 300,000 women who need a C-section are unable to afford or access it.

The findings highlight the extent of Bangladesh’s burgeoning C-section problems, where the country’s wealthy are turning to caesareans in record numbers, even though unnecessary C-sections place mother and baby at a needless risk.


Key findings of the analysis include:

• In 2018 Bangladeshi parents paid $483 million in out-of-pocket expenses for C-sections that were medically unnecessary. That’s an average cost of $612 per case.

• 77 percent of all C-section operations — or an estimated 860,000 procedures in 2018 — were medically unnecessary, up from 570,000 in 2016.

• At the same time, up to 300,000 women who desperately need a C-section every year are unable to get one.

• Between 2004 and 2016 the C-section rate in Bangladesh increased from 4 percent to 31 percent.

Save the Children is calling for better regulation of the industry, more checks and balances on doctors who carry out the procedure and greater funding for vital maternal health services.

Dr Ishtiaq Mannan, Deputy Country Director of Save the Children in Bangladesh and an expert in newborn and maternal health, said, “This surge in popularity has created a situation where we have more and more affluent mothers lining up for unnecessary C-sections, under the belief that it’ll be more comfortable or because they’ve been misled by their doctor, while poorer women who desperately need the operation can’t access it. It’s simply astonishing.”

About 80 percent of all births in private hospitals in Bangladesh are now C-sections. This is in part due to poor regulation of the medical sector and some unscrupulous practitioners, for whom doing C-sections is a profitable business.

Dr Mannan continued, “Doctors and medical facilities are financially incentivised to deliver babies surgically rather than naturally, and face few repercussions if they provide misleading or incorrect advice.

Unnecessary C-sections put mothers and babies at needless risk, increasing the likelihood of infection, excessive bleeding, organ damage and blood clots as well as ensuring a significantly longer recovery time for the mother. It also takes away the benefits of a natural birth, which enables newborns to receive a dose of good bacteria that’s believed to boost their immune system when they travel through the birth canal, and enables a mother and her baby to have physical contact earlier and breastfeeding to begin sooner.”

One of the biggest challenges is addressing a major shortage of accredited midwives in Bangladesh, who not only support natural child birth when healthy to do so, but help reduce the burden faced by busy doctors. Across the country there are just 2,500 midwives, barely a tenth of the 22,000 recommended by a recent health sector review.

Save the Children supports a midwife training programme in partnership with the UN Population Fund to help address this shortage.

Dr Mannan concluded, “It’s important that all women, regardless of their income, location or status in society, have access to the right information and services and can make informed decisions about how they choose to give birth. Increasing the number of midwives in Bangladesh is a big part of this. And if a C-section is medically required, all women must be able to have one, not just those who can afford it.”

Many other countries have experienced caesarean booms too, including Thailand, Sri Lanka, and the United States. Where Bangladesh differs is that its boom has not corresponded with a matching reduction in maternal deaths as it should.

It is also an established practice in Indian pvt nursing homes.
The doctors are turning out to be thugs now days.

 

[namefield_empty]

It is also an established practice in Indian pvt nursing homes.
The doctors are turning out to be thugs now days.

Doctors in private hospitals are not forcing anyone to go for C-section, before the procedure the patients are explained the pros and cons and only after informed consent is obtained, go ahead is given.

You are victimising an entire profession by your ill informed rants. Let me put this bluntly to you, women and their husbands seek C-sections because they don't want to end up with a patulous and saggy pu$$y and a scar on it after multiple childbirths.