An Advice by Abdul Kalam.. [ Source: FB ]..[ TVK ]

[kk4646]

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Kalam asked a question to famous gynaecology doctor Mrs Miruthubhashini Govindarajan which bothered my mind.

His question: I was born in 15 Oct 1931, with the help of midwife at that time.


When I was a young, even till 1980's normal delivery is 90%, 10% may be cesarean operation based child birth. Nowadays I understand it is reverse. What is the reason for that?


He asked her, she immediately replied. I would like to share ith you.


Dr Miruthubhashini Govindarajan gave me following reasons:
1. No physical work, walking, no sports activity in schools - obesity and over weight leads to cesarean.


2. Life style changes - no proper food, consumption of fast and junk food which has to be avoided.


3. People are not getting up early in the morning by 5, not taking breakfast by 7.30 to 8 AM, Lunch by 12.30 to 1 pm, dinner by 7.30 to 8
pm. And go to bed by 10 pm. This is the major cause of all illness.


4. Late marriage beyond 25 to 30 years are also one of cause which leads to cesarean cases.


5. Lack of time to doctors to wait for the normal delivery and lack of mid wifery services in India.


6. No insurance for pregnancy complications and uterine fibroids and cervical cancer treatment.Are some of the causes as per Dr Miruthubhashini Govindarajan.


"I strongly feel our girls, parents should take a note of it to have healthy future citizens. Govt. Should also consider create midwifery course, and include these gynaecology related cases for insurance."


- Abdul Kalam

 

[yesmohan]

Honourable Dr.Kalam asked this question not for the reason that he did not know but knowingly that if the answer comes from the mouth of a famous gynaecology doctor Mrs Miruthubhashini Govindarajan that too as a result of an interaction with himself ( Honourable Dr. Kalam is consciously aware of the fact that his discussions with others are being constantly noticed by the world), not all, atleast some percentage will get benefitted

 

[prasad1]

Things missed are:
Women did not have true freedom.
Information age people know that they do not have to suffer.
People live longer and quality of life is more important,
People have more money and are able to spend it to buy convenience.
There are more qualified gynecologist.

Biggest difference the death of the mother during childbirth has been drastically reduced.
The world mortality rate of mother has declined 45% since 1990.
The death rate for women giving birth plummeted in the 20th century. The historical level of maternal deaths is probably around 1 in 100 births. Mortality rates reached very high levels in maternity institutions in the 1800s, sometimes climbing to 40 percent of birthgiving women (see Historical mortality rates of puerperal fever). At the beginning of the 1900s, maternal death rates were around 1 in 100 for live births. Currently, there are an estimated 275,000 maternal deaths each year. Public health, technological and policy approaches are steps that can be taken to drastically reduce the global maternal death burden.
http://www.internationalwomensday.com/article.asp?m=11&e=55#.VYU9UufBLkA
Every year, about 78,000 mothers die in childbirth and from complications of pregnancy in India, according to the United Nations Children's Fund (UNICEF).

The figures illustrate how poor women in rural India have largely been left behind by India's economic boom which has lifted millions of people out of poverty.


I have great respect for Dr. Kalam, but I differ on his diagnosis.
Yes Midwifes may save some deaths, because they may be readily available, but in case of emergency they can not save life.
"Good old days" is a term that is often used in when engaging in nostalgia, remembering only the positive aspects of times past while sweeping concomitant negatives under the rug. It has also been called the Golden Age Fallacy.
The good old days were good for some but were terrible for others. Any way we can never turn the clock back and return to good old days.
I agree with the advice.

Govt. Should also consider create midwifery course, and include these gynaecology related cases for insurance.

 

[prasad1]

India's economy may be booming, but when it comes to providing adequate health care to pregnant women, the country is falling behind even its poorer neighbors


In March, Preeti Singh almost died giving birth. The 22-year-old resident of a village about a half hour’s drive from New Delhi was pregnant with twins and planned to give birth with the help of an untrained midwife. When things went wrong during the delivery, she rushed to three government hospitals in search of help before her family decided to take out a loan for $1,000 to send her to a private hospital. Singh and one of the twins survived. “Giving birth is not easy,” she says. “But maybe if I was taken to a hospital to give birth or a competent dai [midwife] was there, it would not have been so traumatic and my other child would have been saved.”
Indeed, with basic maternity care, many lives in India would be saved. According to a 2010 study by the Harvard School of Public Health, 150,000 deaths could be prevented by 2015 if Indian women had access to better family planning and health care during their pregnancies and deliveries. But that medical help has yet to arrive. A new report by Save the Children suggests that, despite India’s booming economy, the country is still one of the most high-risk places in the world to give birth. It ranked India as the fourth worst country among 80 less developed nations in its survey, with nearly half of all births taking place without a trained health professional. “Even though India has made efforts to improve maternal health by encouraging institutional deliveries and taking other measures,” says Thomas Chandy, the head of Save the Children India, “the benefits have not yet appeared to bring about a shift.”
What’s frustrating, advocates say, is that the findings are in many ways old news — India has been trying to improve levels of maternal health for years.Though figures show the maternal mortality rate dropped by 66% from 1990 to 2010, India still has by far the highest number of women dying during childbirth on the planet each year, with 56,000 deaths in 2010, according to a U.N. report on maternal-mortality trends. In neighboring China, which has a similarly large population, just 6,000 mothers died during childbirth in the same year. Even poorer countries in the region are catching up to India. India’s maternal mortality rate in 2010 was 200 women per every 100,000 live births, which was even with Burma and slightly better than Bangladesh (240 deaths per 100,000 live births). Nepal, meanwhile, had just 170 deaths per 100,000 births.



A few Indian states are leading the way. Kerala, Tamil Nadu and Maharashtra have already reached the U.N. Millennium Development Goal of bringing their maternal mortality rates down to 109 women per every 100,000 live births, while several other states — Andhra Pradesh, West Bengal, Gujarat and Haryana — are close to achieving it. These states have done the best at tackling problems like child marriages and female illiteracy — two factors that also contribute heavily to maternal mortality rates. Kerala state, for instance, boasts a female literacy rate of 92%, as well as the lowest maternal mortality rate in the country at 81 deaths per every 100,000 births.
India is pouring much needed revenues into improving health care as well. The government plans to boost spending by 2017 to about 2.5% of its GDP from the current 1.4%. However, money alone will not bring results unless it’s paired with effective training and education campaigns in at-risk communities. “India has wonderful policies on paper. We have the money too,” Gogoi says. “What we need to do is to turn these policies into action on the ground.”The next several years are critical, as they will show whether the advances made in states like Kerala can be replicated elsewhere — or whether India will slip even further behind its neighbors in terms of taking care of the lives of its women and children.

http://world.time.com/2012/06/08/why-india-is-still-one-of-the-most-dangerous-places-to-give-birth/

 

[renuka]

Firstly we need to find out if Dr APJ Abdul Kalam really said all this cos lot of stuff online are circulated using his name.

Some points are valid no doubt but I do beg to differ in some aspects.

Dr Mritubashini expects everyone to be by bed at 10pm..but it is really possible?
As a doc herself she might be conducting deliveries at 4 am!LOL

But I have noted that women who are over weight and with big breasts and wide hips usually some how are not able to deliver normally...during labour they somehow do not progress and their cervix just does not dilate and fetus lands into distress and next is surely a C section.

Thinner active women are able to deliver normally.

Even when I follow up some cases of foreign workers..during the 1st few years of their stay where life is rather hard for them..they are still able to deliver normally but once they start to earn money and live with more comfort which spells lack of activity..their subsequent activities become C sections cos their bodies cant go into normal labour anymore!

Its clear that its lack of activity which weakens every muscle in the body..but we surely cant go back to the so called "good old days ' of taking water from wells etc..so all we have to do is exercise more.

Its that simple..simply be more active..try some sports too.

But who listens?

 

[CHANDRU1849]

There is a general perception that cesarean operation is being recommended even in cases where normal delivery is possible, in view of the cost factor, as medical education becomes very costly.

But, only a Doctor can reply for the authenticity of the statement.

 

[vgane]

There is a general perception that cesarean operation is being recommended even in cases where normal delivery is possible, in view of the cost factor, as medical education becomes very costly.

But, only a Doctor can reply for the authenticity of the statement.

May be true..I have seen caesarian recommended commonly in Chennai...I know a case in Sweden wherein the Doctors waited patiently for the regular pain to occur 2 weeks after the due date & then have the delivery...Had it been Chennai they would have forced Caesarian on the hapless woman

 

[kk4646]

Firstly we need to find out if Dr APJ Abdul Kalam really said all this cos lot of stuff online are circulated using his name.

Some points are valid no doubt but I do beg to differ in some aspects.

Dr Mritubashini expects everyone to be by bed at 10pm..but it is really possible?
As a doc herself she might be conducting deliveries at 4 am!LOL

But I have noted that women who are over weight and with big breasts and wide hips usually some how are not able to deliver normally...during labour they somehow do not progress and their cervix just does not dilate and fetus lands into distress and next is surely a C section.

Thinner active women are able to deliver normally.

Even when I follow up some cases of foreign workers..during the 1st few years of their stay where life is rather hard for them..they are still able to deliver normally but once they start to earn money and live with more comfort which spells lack of activity..their subsequent activities become C sections cos their bodies cant go into normal labour anymore!

Its clear that its lack of activity which weakens every muscle in the body..but we surely cant go back to the so called "good old days ' of taking water from wells etc..so all we have to do is exercise more.

Its that simple..simply be more active..try some sports too.

But who listens?

Sorry to comment..Honestly I do not know the validity of this post in FB.. But I felt it may useful for discussion.. But to some extent it is true in most of the cases [ I refer Chennai only] Doctors do prefer cesarean instead waiting for normal delivery..and advice the parents .. Nearly 80 to 90 persent of the cases have been done in that way only.. It is my experience with my kith&kin and also with other relatives.. What actually needed or not needed is always left to the 'choise' by the doctor but I suspect ALL the doctors do not follow the Ethics..


TVK

 

[CHANDRU1849]

It seems, there may be another reason. People, who are very religious, want the child on a specific day, time and nakshtram.

 

[JR]

Firstly we need to find out if Dr APJ Abdul Kalam really said all this cos lot of stuff online are circulated using his name.

Some points are valid no doubt but I do beg to differ in some aspects.

Dr Mritubashini expects everyone to be by bed at 10pm..but it is really possible?
As a doc herself she might be conducting deliveries at 4 am!LOL

But I have noted that women who are over weight and with big breasts and wide hips usually some how are not able to deliver normally...during labour they somehow do not progress and their cervix just does not dilate and fetus lands into distress and next is surely a C section.

Thinner active women are able to deliver normally.

Even when I follow up some cases of foreign workers..during the 1st few years of their stay where life is rather hard for them..they are still able to deliver normally but once they start to earn money and live with more comfort which spells lack of activity..their subsequent activities become C sections cos their bodies cant go into normal labour anymore!

Its clear that its lack of activity which weakens every muscle in the body..but we surely cant go back to the so called "good old days ' of taking water from wells etc..so all we have to do is exercise more.

Its that simple..simply be more active..try some sports too.

But who listens?

Dear Renuka ji,

When I was delivering my first child, I was post due date by 2 weeks. The doctors took the heartbeat every now and then and were not concerned. Even after 2 weeks, I got false alarm. When we went to the the hospital, I had not dilated even 2-3". The doctors told me to keep walking on the hospital corridors.... I walked the whole night - with pain for 5 hrs. Then the pain worsened and then progressed into real pain and delivery happened. If it had been India, it would surely have been C section.

Yes, it seems that the more active women are, the easier and normal the delivery is.

Do you think heredity will also play a role in this? Like menopause... perhaps... my sister in India is going through a hellish menopuase just like my mother did in her late 40's.

 

[R.Narayan.Rao]

I have heard that astrologers are consulted and on the basis of the date and time recommended by them ,the doctors are requested to perform caesarian

 

[renuka]

Do you think heredity will also play a role in this? Like menopause... perhaps... my sister in India is going through a hellish menopuase just like my mother did in her late 40's.

Possible..

These days there is a shift in the understanding of menopause..the focus is not so much on lack of estrogen but its more about the shift in the progesterone estrogen ratio.

I have noted in my general practice that women from communities that have an active sexual life with their husbands/partners tend to sail thru menopause easily.

So for a rather unpleasant menopause..these days I recommend patients to spice up their sex life.

One needs a distracting factor from the physical and emotional symptoms of menopause..sex also improves a women confidence cos that makes her feels attractive and desirable.

Menopause affects the self image of many women..they start to feel they are losing their femininity'.....just like how males tend to feel less masculine as they age becos of the dip in testosterone(so they are not ever green as they imagine..there are 50 shades of green too!LOL).

Menopause as we know at times has profound psychological symptoms too with severe mood swings, anxiety..nervousness too..sometimes an anxiolytic or even an anti depressant helps.

In the past women very seldom had severe menopause symptoms becos I feel they married rather young and also become grandmothers even before menopause could kick in and tending to grandkids in an extended family could trigger some maternal instincts again which makes menopause less stressful.

Further more I can confidently say women of yesteryears were gunning it more in terms of sex compared to modern women..modern women have to manage their careers and home both..less time to devote to anything else and with added stress menopause becomes "hellish"