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Last Updated Wednesday October 18 2017 07:38 AM IST

Cesarean deliveries up by 15% due to late marriage

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Pregnant woman

Mumbai: India has witnessed a sudden increase of 15 per cent in cesarean sections or cesarean deliveries - a procedure performed only during complicated pregnancies and difficulty in a normal vaginal delivery, gynecologists said on Saturday.

The doctors said that rise in C-section cases, both in urban and rural areas, are due to delayed marriage and the consequent late child birth, coupled with lifestyle and environmental factors.

Medical science says that if there are no complications with pregnancy or labour, a vaginal birth is safer than a cesarean birth. Vaginal birth also makes future pregnancies and fertility safer.

According to the World Health Organization (WHO), until 2010, cesarean sections were limited to 8.5 per cent of all deliveries in India. "But in the last decade or so, the numbers have escalated in many parts of the country, reaching as high as 41 per cent of deliveries in Kerala and 58 per cent in Tamil Nadu," it said.

Bandita Sinha, gynecologist and fertility specialist at World of Women, a leading medical center for gynecology cases, said: "The alarming factor is that the recommended level of cesarean deliveries by WHO is 10-15 per cent. The sudden increase in the number of cesarean sections is visible in both urban and rural areas."

The lifestyle factors leads to an increasing number of women opting for their first child post 30 years of age.

According to Sinha, there are various indications of a cesarean delivery, like contracted pelvis, where if the size of the baby is not proportionate to the size of the birth canal, normal delivery becomes difficult.

"Health of the scar of any previous uterine surgery also determines if the women will have a natural delivery. Fetal distress or prolonged labor, severe hypertension and other medical conditions can affect mother or baby's health," said Sinha.

Gauri Gore, gynecologist at city-based Zen Hospital, said: "Sometimes, the cesarean-section becomes risky if the mother has genital herpes. So, it has to be ensured that the mother's infection does not pass on to the baby."

Gore said that a sedentary lifestyle or lack of exercise could also increase the possibility of a C-section.

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