Lok Sabha Question No. 2893 (UNSTARRED), answered on 2018-12-28
Subject: C-section Deliveries
Ministry: HEALTH AND FAMILY WELFARE
Asked by: JAY PRAKASH NARAYAN YADAV

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

## LOK SABHA UNSTARRED QUESTION NO. 2893 TO BE ANSWERED ON 28 TH DECEMBER, 2018

## C - SECTION DELIVERIES

## 2893. SHRI JAI PRAKASH NARAYAN YADAV:

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

- (a) whether caesarean section delivery adversely affects health of mother and the child, if so, the details thereof;
- (b) whether more deliveries are done through caesarean section in pri vatehospitals in the country, if so, the details thereof along with reaction of the Government thereto;
- (c) whether private hospitals carry out C - section deliveries without medical compulsion for financial advantages to them; and
- (d) if so, the punitive measures taken by the Government in this regard?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

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

However, as in other surgeries, caesarean section deliveries also have inherent surgical and anesthetic complications.

- (b): As  per  National  Family  H ealth  Survey -IV  (2015 - 16),  Birth  in  Health  Facility  by Caesarean Section (%) in private health facility is 40.9% which is higher than public facility where it is 11.9%. However, there are multiple reasons for higher rates of C - section.

WHO  in  itsstatement  released  in  April  2015  states  that  at  population  lev caesarean section rates higher than 10% are not associated with reductions in matern new-born mortality rates.

- In this regard a communication vide OM M.12015/182/2015 - MCH has been sen t to all the State Principal Secretaries and Mission Directors of all States and UTs them  to  share  the  WHO  statement  with  all  the  Obstetricians  and  Gynecologist working in their respective states. In addition States have been suggested to c periodic prescription audits in private sector which could also be extended to sector.
- Government  of  India  also  has  written  vide  OM  M.12015/182/2015 - MCH  to Federation  of  Obstetrical  and  Gynecologists in  India  (FOGSI)  to  share  the  WHO statement among the Obstetricians and Gynecologists under the umbrella of FOGSI.
- The Government of India has enacted the Clinical Establishments (Registration Regulation) Act, 2010 with the objective of registration and regulation of health care institutions including those in the private sector. Health being a state subject responsibility  of  the  state  to  effectively  implement  the  Act,  however  the provides continuous guidance, strict monitoring and directives for the regulation of high caesarean section rates.
- All CGHS empanelled hospitals are directed to display the information regarding r of deliveries by caesarean section vis - à- vis normal deliveries. A communication was sent in this regard vi de OM Z15025/2017 to all the CGHS empanelled hospitals.

(c) & (d) : Government  of  India  has  received  complaints  through  public  grievances regarding  unethical  practice  of  doctors  for  making  money  from  unsuspecting  women  an pushing them towards surgical del iveries.

Health being a state subject, it is for the States to act on such incidences.