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7th July, 2017
High cesarean section rates in the country

The rates of cesarean section deliveries are increasing in the country and there is a perception amongst the public that many of these are unnecessary cesarean sections.
 
According to a World Health Organization (WHO) report published in 2010, the cesarean section rate in India was 8.5%. The percentage of cesarean section deliveries in the country is 17.2% as per the National Family Health Survey (NFHS)-4 (2015-16) released earlier this year (Press Information Bureau, Ministry of Health and Family Welfare, March 28, 2017). This latest figure is apparently higher than the "deal" rate between 10% and 15% as that recommended by the WHO in 1985. 
 
The high cesarean rates in the country, as a number, cannot be viewed in isolation. 
 
There are several reasons why a cesarean section delivery may be chosen over a vaginal birth.
 
There are the medical indications, the absolute and relative indications, because of which a doctor may recommend an elective caesarean section. At times, in conditions such as obstructed labor or other obstetrical emergencies, a caesarean section is done as an emergency procedure, where it is lifesaving for both the mother and the child.
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IMA indicates five Ds that determine when to get a health checkup
Important to watch out for signs that the body gives and take steps to counter negative stress

New Delhi, 06 July 2017: According to studies, people go to the doctor only when they are experience a health problem or if they are looking for specific diagnosis or treatment. Many others get a health check up done as a follow-up to some chronic problem or disease. However, many are still unsure about how frequently they should get examined and under what circumstances. 
 
As a general rule, the purpose of a periodic health examination is to ensure primary prevention, identify risk factors for chronic diseases, detect diseases with no apparent symptoms, promote self well being, and update clinical data since last checkup. Experts at the IMA feel that there are five Ds that can be used as determining factors for getting a health check up done: Decade, Death, Divorce, Diagnosis, and Decline. 
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