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Caesarean birth rate rising alarmingly

DHAKA, April 9, 2017 (BSS)- The rate of C-section or caesarean delivery is rising alarmingly in the country compared to normal delivery thanks to "commercial mentality" of health service providers, a national-level survey showed.

The findings of the survey released on April 5 showed that the rate of normal delivery in the country is 62.01 percent, while the rate of C-section is 35.05 percent and it is 2.05 percent in other ways.

The rate of giving birth at government facilities is 24.05 percent, while it is 27.02 percent at private hospitals, 4.05 percent at NGO clinics, 42.03 percent at home and 1.05 percent at other places, the

survey said.

In another study, conducted by Bangladesh Demographic and Health Survey (BDHS) showed that the rate of C-section in last three years was 23 percent.

According to the study, 37 percent delivery were done at government facilities, while it was 22 percent at private hospitals and clinics.

The study showed that the rate of caesarean delivery doubled in six years. The rate was four percent in 2004, nine percent in 2007 and 17 percent in 2011. Now the rate is 35.05 percent.

According to the BDHS, six babies out of 10 are born at hospitals or clinics through C-section and 80 percent caesarean are done at private hospitals or clinics.

Fifty percent children of most educated and solvent families of the society are born at private hospitals and clinics through caesarean delivery.

A health bulletin, published in 2015, showed that the rate of C-section has increased by around eight times at different upazila health complexes.

A total of 1,66,721 pregnant women were admitted to different private hospitals and clinics in 2013 and 1,17,164 children were born through caesarean. But, the bulletin said, 80 percent of these deliveries could have done normally.

The policymakers are getting worried as the rate of C-section is going up day by day. They said sometime caesarean delivery is necessary for saving life, but many doctors of private hospitals and

clinics opt caesarean delivery instead of normal delivery for earning money.

Health and Family Welfare Minister Mohammad Nasim blamed private hospitals and clinics for the rise in caesarean births. The rate of C-section is increasing due to "commercial mentality" of private

hospitals and clinics, he said.

Doctors of those hospitals and clinics, he said, encourage the pregnant women and their relatives in doing C-section promptly instead of normal delivery though it's not necessary.

As a result, many children are born before the tentative date. When they grow up, they suffer from various complicated diseases affecting the country and society, the minister added.

Nasim urged all concerned to create awareness among mothers about normal delivery instead of caesarean.

Source: Bangladesh Sangbad Sangstha (BSS)