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Caesarean section births on the increase: Survey

Discussion in 'JF Doctor' started by BAK, Feb 15, 2009.

  1. BAK

    BAK JF-Expert Member

    Feb 15, 2009
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    ANNE ROBI, 14th February 2009 @ 11:07
    Sunday Feb 15, 2009

    Caesarean section births on the increase: Survey

    DELIVERIES through Caesarean Section in the country are reported to be on the increase with the national referral hospital Muhimbili National Hospital (MNH) in Dar es Salaam top in the list, the 'Sunday News' has established. Assistant Director of Clinical Services, Dr Rosina Lipyoga says the current statistics indicate that about 46 per cent of pregnant women who delivered at the hospital underwent the Caesarean Section.

    According to World health Organization (WHO), International Standards recommend 15 per cent as ceiling for Caesarean Section of all births globally at any given time. National statistics indicate that Caesarean Section deliveries have outnumbered internationally-recommended standards by three times.

    In an exclusive interview with the ‘Sunday News’ in Dar es Salaam over the week, Dr Lipyoga says the situation is a result of prolonged labour, fatal and maternal distress and other complications such as uterine rapture. Caesarean Section is a surgical procedure in which an incision is made on a woman's abdomen to remove the baby.

    It is usually done when normal delivery has been proved to put both the mother and baby's life at risk. Dr Lipyoga says, however, that there are some women reporting to hospital and opt to be delivered through Caesarean Section. “Such cases contribute so much to the increase of the Caesarean Section delivery rates in hospital,” she says, adding that such women go to the extent of pressurizing doctors to carry out the surgery. Dr Lipyoga was reacting to a study report on the impact of Caesarean Section published in UK’s Medical Journal late last year.

    The report indicates that babies born through Caesarean Section were at risk of developing asthma and contracting diabetes in later stages of life by 50 per cent compared to babies born in natural process. “I cannot agree or disagree with the report because we have no case studies in Tanzania concerning Caesarean Section deliveries, she says.

    The spokesperson in the Ministry of Health and Social Welfare, Mr Ridhiwan Mwamaja, when contacted for comment on the national statistics, said “the ministry does not record cases on Caesarean Section.” Mr Mwamaja said the ministry has not yet embarked on advanced data planning system on the Caesarean Section but advised this paper to contact public and private hospital. The private hospitals that were contacted by this reporter such Aga Khan, Hindu Mandal could not respond immediately
  2. Saikosisi

    Saikosisi JF-Expert Member

    Feb 16, 2009
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    It will be great to get national statistics.
    The MNH c/section rate is expectedly to be higher than the internationally recommended because it is a referral hospital and sees more of everything- prolonged labor, obstructed labor etc.
    I think HIV/AIDS could be a contributing factor to increase in c/section because some HIV-infected women would opt to go for it to reduce the risk of transmission to their babies.
    BUT, for Drs who give up to patients requests without sound medical basis they should know that they are violating the medical ethics and they are DOING HARM.
  3. IronBroom

    IronBroom JF-Expert Member

    Feb 17, 2009
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    Japo haijatajwa hapo,mwenye ufahamu asaidie,does it have anything to with mapenzi kinyume cha maumbile?Hasa hao wanao 'pressurize' doctors wawafanyie 'operation'.

    Haya maneno yapo yapo mitaani.Ukweli ni upi?
  4. Saikosisi

    Saikosisi JF-Expert Member

    Feb 17, 2009
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    HHHaaaaa haaaaaa itakuwa ngumu kui-study hiyo. Ila I doubt kama ina uhusiano.
  5. Dark City

    Dark City JF-Expert Member

    Feb 17, 2009
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    That might be a great thing to find out. I am sure doctors can get such info. But it makes sense because people used to say that such women have to be "padded with cotton wool" in their other opening to be able to mount sufficient pressure to get the baby out! Kazi ipo kweli kweli!!:rolleyes: