- Lancet conducted a study to analyze the trends in C-section use across 169 countries across the world.
- Global trends:
Reasons for c-section:
- Women marrying late and delayed pregnancies.
- Poor birth preparedness and Uncertain timing of natural labor
- Women more career oriented than earlier.
- Fear of pain and a lack of motivation to deliver normally in certain sections of the upper-middle and high-income group.
- A C-section is medically necessary when complications develop such as bleeding, high blood pressure or the baby is in an abnormal position in the womb, endangering mother or child.
- The procedure is unavailable to many women in low-income countries and overused in many middle- and high-income countries.
- The wealthiest women in middle- and high-income countries were six times more likely to have a C-section compared with the poorest women where C-section was 1.6 times more common in private facilities than public facilities.
- Six out of 10 nations do too many C-sections and a quarter perform too few, the study found.
- Wide differences exist between rich and poor, public and private sectors, and between regions.
- While it is estimated that 10-15 percent of births medically require a C-section due to complications, most countries used C-section above the recommended level.
- Moreover the c-section surgery is not risk-free and has been linked to difficulties with future births.
- Way forward: In cases where complications do occur, C-sections save lives, so its accessibility should be increased in poorer regions, making them universally available, but its overuse should be regulated.