Lok Sabha Question No. 3375 (UNSTARRED), answered on 2017-08-04
Subject: Caesarian Deliveries
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAJESH RANJAN  (PAPPU  YADAV)

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 3375 TO BE ANSWERED ON 4 TH AUGUST, 2017

## CAESARIAN DELIVERIES

## 3375. SHRI RAJESH RANJAN:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether women are exposed to risks in Caesarian deliveries, if so, the details thereof;
- (b) whether Government is taking measures to spread awareness regarding the risks associated with Caesarian deliveries, ifso the details thereof;
- (c) whether measures have been taken to ensure that hospitals and doctors give adequat  and correct information on normal and C-Section deliveries and if so, the details thereof;
- (d)  whether  antibiotics  prescribed  to women  before  Caesarian  deliveries  disrupt the  immune system of the newborn, if so, the details thereof; and
- (e) whether the Government intends to regulate such operation to prevent the prescriptions of such drugs, if so, the de ails thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (SHRI FAGGAN SINGH KULASTE)

- (a): Caesarean section is one of the most common surgeries in the world. It is assumed 15% of the pregnancies will land into complication and will require surgical intervention.

However  as  in  other  surgeries,  caesarean  section  deliveries  also  have  inherent  r surgical and anaesthetic complication.

- ( b)& ( c) : Health  being  a  State  subject,  the  monitoring  &  implementation  of  Clinic Establishments Act is in the purview of the State and UT Government. The Government of India has enacted the Clinical Establishments (Registration and Regulation) Act & Rules 2010 wit objective of registration and regulation of health care institutions including those i n the private sector. Further, clinical establishments are required to ensure compliance of Standard Tr Guidelines for registration and continuation. This Act has been adopted by 10 States of Hi Pradesh, Sikkim, Arunachal Pradesh, Mizoram, Utt ar Pradesh, Bihar, Jharkhand, Uttarakhand, Rajasthan and Assam and six Union Territories (all except NCT of Delhi).

The Medical officer s, staff nurses and ANM are being trained regularly in improving the skills for intrapartum care and early detection of complications.

World Health Organisation (WHO) in its new statement released in April, 2015 has s thatat  population  level,  Caesarean  section  rates  higher  than  10%  are  not  associated reductions in maternal and newb orn mortality rates.

Government  of  India  (GoI) has  already  written  to  all  States  and  UTs  sharing  the  late WHO statement.In addition, States have been informed to conduct periodic prescription aud the private health facilities under the Clinical Establishment Act.   They have also been informed that prescription audits can be extended to public health facilities.

A communication has also gone to Federation of Obstetrical &Gynecological Societies India (FOGSI) which is the largest profession b ody of Obstetricians and Gynecologists in India for  sharing  the  WHO  guidance  note  to  all  their  State  chapters  and  the  Obstetrician Gynecologists registered under them.

All CGHS Empanelled hospitals are directed to display the information regarding ra tio of deliveries by Caesarean section vis - à- vis normal deliveries.

(d) & ( e): Prophylactic antibiotics in fixed dosage are routinely administered to all pr women undergoing caesarean section to prevent infection, however there are no cases report of side effect of these antibiotics on the immune system of newborn.