Dear Suranjeen, I dont dispute the no. of 5-12% nor the need for caesariaan births. What I say is that the need of surgery has been created in last about 30 years esp since 1990. It cannot be natural history. Pl. show a data if you have how much caesarean births were taing between 1930-50, 1950-1990 and 1990-2007 if it was natural requirement. From my rustic knowledge and memory I did not see one single case from my village or my area or in later days when I was in IIT Kanpur 1965-79. In the Health Centre of IITK one or two a year caesarian were done. Hundreds were delivering normally.
I discussed with gynacologists. They tell me a wrong data that most of the women die for want of surgery. I am sure that if they die it is not because of need of surgery but because they are poor and do not have two meals a day forget about the milk and green and fresh vegetales and fruits. The need of surgery has been created recently by various reasons. Part responsibility must be shared by increased income and comfortable life style for the middle class urban ladies. Just move around the residential colonies of the Corporate World and you will have confirmation. But mostly it is created by doctors. Take a poor girl and tell the doctor about her destitute condition and request for normal delivery. 95 out of 100 doctors will not touch this case unless you are influential in the area. There is a chance that they will refer the case to a Govt hospital in the name of some technical complication. But in the end of it all I think caesarian births are caused by doctors greed and unnatural quality of life of the ladies. All other so many ills are created by these two reasons. vnsharma --- In [email protected], Suranjeen<[EMAIL PROTECTED]> wrote: > > Dear Dr. Sharma, > According to natural history of pathogenesis during pregnancy - 5-12% > of pregnancy would end in death of mother or foetus unless intervened > surgically. This include cases of obstructed labor, eclampsia etc. > > Surgery is only indicated in these 5-12%. > Just like how we do various surgical interventions to save lives, the > LSCS saves lives. > > Learning the art of surgery, todays doctors have gone greedy and have > begun to operate on flimsy or no reasons. This is criminal. > > Suranjeen > > On 24/06/2008, Dr.V.N.Sharma [EMAIL PROTECTED] wrote: > > Dear Suranjeen, > > > > I have not been able to fit in the logic of caesarean births as it is > > very unnatural. No animal needs that Why should humans. My own > > understanding is that it has a direct scientific relationship with the > > kind of unnaturality introduced in our life. We do not use the limbs for > > the purposes they are there. For smallest journey we use cars, mobikes > > and public transport. Can you believe that my colleagues deliver their > > children to school by car/ mobikes just 100 meters from their residence. > > Follow this by taking anti- sugar, anti- hypertension tablets, go for > > Baba Ramdeo's Yoga and his medicines and learn to have a morning walk. > > Every body in the urban area incl. the ladies dont have time to walk > > down to an Office less than 2 km. But they take a morning walk to make > > it up in a very religious style followed by a good no. of drugs on daily > > basis. Does it work? Whenever I or any of our colleagues visited him for > > BP check a physian in our Company hospital would smile and say "Lift > > chalan Band Kariyo" (in Maithil). My colleagues used to avoid him and > > did not like to go to him for this reason. In my view if too much of > > automation is added our natural life will be finished and a few hundred > > years from now and following the Theory of Evolution Humans may loose > > their hands and legs and other parts that are useless. > > > > Now that such unnatural quality of life has been introduced for women > > too I am sure caesarean will be needed and justified in cases more than > > really required. Not so much in any case. > > > > Dr.V.N.Sharma > > > > *************************** > > --- In [email protected], "Suranjeen Prasad Pallipamula" > > suranjeen@ wrote: > >> > >> Dear Friends, > >> Safe delivery is still not available to most of our women. > >> Do you know how many women die in Jharkhand. > >> Ekjut, an NGO at West Sibghbhum has been counting the number of women > > dying > >> for the past two years and the numbers are frightening. > >> The Cesarean section is important to save lives. > >> Yes, some urban doctors are doing Cesareans unnecessarily, but that > > does not > >> mean that it is not needed. > >> Suranjeen > >> > >> 2008/6/23 Ranjan Ghosh janchetnamanch@: > >> > >> > > >> > > >> > *Jharkhand Network | Jharkhand.org.in/network > > *<http://www.jharkhand.org.in/network> > >> > <http://egroups.com/list/Jharkhand> > >> > * * > >> > > >> > > >> > Dear All, > >> > I think we should be a bit careful with our language here. Comparing > > the > >> > delivery a baby with 'hard stool' is a huge insult to women in > > labour. Women > >> > also do not - traditionally - go back to working in the fields > > immedaitely > >> > after delivery. > >> > Let's not over romaticise to this extent please! > >> > Lindsay Barnes > >> > > >> > > >> > On Sun, 22 Jun 2008 S kumar wrote : > >> > >Dr.Sharma, > >> > > > >> > > Under normal circumstances, when women stick on to the ancestral > >> > traditions and advice given by elders, normal deliveries were the > > norms. We > >> > see how the tribals or working women even at the fag end of their > > pregnancy, > >> > continue to work and leave the work to deliver the child asisted by > > another > >> > older woman or a midwife and return to work. > >> > > > >> > > Delivery is such a smooth process provided one does not interfere > > with > >> > the growth of the child by excessive vitamins, minerals like Calcium > > or > >> > other medicines to expedite delivery..etc. The delivery is nothing > > more than > >> > pasing a hard stool and we should leave it to nature for the pains > > to > >> > appear, increase the frequency and force until the child is > > delivered. > >> > > > >> > > One of the main causes for increased caesarean has been > > indiscriminate > >> > use of Calcium tablets, that hardens the bones of the foetus esp. > > the skull > >> > making the passage more difficult. > >> > > > >> > > Follow nature, normal food and good exercise with normal home > > activity. > >> > The delivery would also be normal. > >> > > > >> > > > >> > >"Dr.V.N. Sharma" vnsh44@ wrote: > >> > > The fact that has been surprising me for last 40 years -why > >> > Medical Science suddenly turned to caesarean births in last 20-25 > > years seem > >> > to have been answered. It is not just this. Every portion of medical > >> > practice is doubtful today. Anyway for the present I would like the > > present > >> > link to be opened and read. Thanx > >> > > > >> > > > http://downtoearth.org.in/full6.asp?foldername=20080531&filename=news&se\ \ > > c_id=15&sid=32 > >> > >-- Birth in the Squatting Position by Polymorph Films 1979 > > > >> > (10 mins, Brazil) The business of being born by Abby Epstein > > (83 mins, > >> > USA) Birthday by Naoli Vinaver (10 mins, Mexico) Born at > > Home by Sameera > >> > Jain (60 mins, India) > >> > > > >> > >Commercial cinema, at least the variety common in this country, > > tends to > >> > show childbirth in a kind of half-light: the mother screaming and > > blood > >> > flowing profusely. If the end is happy, a doctor enters with a > > scalpel and > >> > saves the woman. The baby is taken by its feet and smacked on its > > back to > >> > make it cry and everyone is happy. > >> > > If the way you see childbirth is influenced by such imagery, four > >> > films screened on April 29 and 30 by the Delhi Birth Network would > > have been > >> > perfect to correct your perception. These films were about natural > > births > >> > and home births. They showed that doctors are in most cases not > > required for > >> > childbirth. > >> > > > >> > >Birth in the Squatting Position from Brazil is a good introduction > > to the > >> > concept of natural birth. The woman and the child work out the > > process of > >> > delivery between them right in front of your eyes. The baby comes > > out in the > >> > mother's hands or just lands softly on a bed kept ready for its > > arrival. > >> > Doctors, if present, stand there and just watch the process. The > > documentary > >> > follows five births and as the babies pop out effortlessly, one > > after the > >> > other, you get comfortable with natural births. The Business of > > Being Born > >> > shakes you out of this comfort. It shows that natural births rarely > > happen > >> > if a doctor is involved. Hospital births are more likely to end up > > in a > >> > caesarean for the simple epidural injection starts a cascade effect > > ensuring > >> > that the only way to save the baby is to extricate it by making an > > incision > >> > in the mother's abdomen. > >> > > > >> > >Natural births are said to strengthen the bond between mother and > > child. > >> > The third documentary, Birthday , emphasizes this. It shows a family > > in > >> > Mexico taking part in the process of getting the new baby into the > > world in > >> > a water bath. > >> > > > >> > >The fourth film, Born at Home, is about India where home births and > >> > natural birth are only options for the majority. It shows > > traditional dai s > >> > (midwives) in rural Rajasthan and Bihar, and in Delhi slums helping > > in > >> > delivery. > >> > > > >> > >Born at home brings out interesting tid bits of traditional > > knowledge, > >> > which are being lost because they do not fit in with modern > > practices. One > >> > such pertains to when the umbilical cord should be cut. Traditional > > wisdom > >> > lets the connection remain till the child is acclimatized to the new > >> > environment. It is only when the cord stops pulsating, that it is > > cut. This > >> > also ensures that the placenta comes out of the body. Modern doctors > > cut the > >> > cord immediately after the child is born and placentas are known to > > remain > >> > in and lead to further problems. > >> > > > >> > > > >> > >Lessons from tradition > >> > > > >> > >Besides their visual appeal, there is a lesson in these films: > > there is a > >> > role for doctors in childbirth, but not one in which they > > stage-manage the > >> > show. The problem is when doctors are involved, cases of natural > > births are > >> > rare, more so in private hospitals that use surgery. For surgeons > > trained in > >> > obstetrics and gynaecology, money is the incentive. They do not have > > the > >> > patience to let nature take its time. > >> > > > >> > >usa, where most births take place in institutions, has a higher > > rate of > >> > death of both mother and the infant than Europe where natural births > > are > >> > common. > >> > > > >> > >Studies show that the number of normal births in India in > > government > >> > hospitals is relatively higher. However, achieving 100 per cent > > deliveries > >> > in public hospitals suffers given the sorry state of public health > > system in > >> > the country. In urban India, even when natural birth is talked > > about, it is > >> > with an emphasis on the learning from the West. As a result, we lose > > out on > >> > indigenous practices. > >> > > > >> > >For example, in Rajasthan, to ensure that surroundings are > > sterilized, a > >> > dai uses clean sun-baked sand and warms it. This sand is layered on > > the bed > >> > and covered with a cotton cloth. The heat eases child birth. But now > > this > >> > practice has given way to use of plastic sheets that are rarely > > cleaned and > >> > so increase chances of infection. > >> > > > >> > >Consider another example. This is to take care of the mother after > > she > >> > delivers. Medicinal herbs are burnt and covered by a huge basket. > > The mother > >> > squats on the basket; the smoke has antiseptic properties. > >> > > > >> > >The way forward would be to train more mid-wives because 99 per > > cent of > >> > childbirths need just a disinfected blade and a thread. They are > > also > >> > cheaper. Doctors should of course be available for emergencies. > >> > > > >> > > > >> > > > >> > > > >> > > > >> > > > >> > > > >> > > Jharkhand Network | > > Jharkhand.org.in/network<http://jharkhand.org.in/network> > >> > > > >> > > > >> > > > >> > > > >> > > > >> > > > >> > > > >> > > > >> > > > >> > > >> > > >> > > >> > > >> > *Jharkhand Network | Jharkhand.org.in/network > > *<http://www.jharkhand.org.in/network> > >> > <http://egroups.com/list/Jharkhand> > >> > * * > >> > > >> > > >> > > >> > > >> > >> > >> > >> -- > >> Suranjeen > >> Ranchi > >> > > > > > > > > > > > -- > > Ranchi >
