Treating a patient needs a lot of discretion in the hands of the treating doctor. But recently there a growing trend of red tapism in the medical sector.
Now even the Caesarean deliveries in private hospitals under the Centre's National Health Protection Mission will only be allowed after the patient is referred from a government hospital specifying reasons.
The aim is to encourage normal deliveries, Chief Executive Officer of Ayushman Bharat- National Health Protection Mission, Indu Bhushan said.
He said normal deliveries will not be covered under the scheme, which aims to provide a coverage of Rs 5 lakh per family annually and benefit more than 10 crore families belonging to the poor and vulnerable sections of the society.
"Caesarean sections will only be allowed in private hospitals under the scheme after they are referred there from public hospitals specifying the reasons, which could be bed or human resource shortage or other issues," Bhushan said.
"According to WHO, the ideal rate of C-section is 10-15 per cent for a country, but in India, caesarean deliveries have become rampant especially in private hospitals indicating commercialisation of deliveries," Bhushan said.
The base rate of C-sections under the scheme have been fixed at Rs 9,000.
According to the National Family Health Survey-4 (2015-16) data released by the Union health ministry in May last year, private hospitals carried out 40.9 per cent of caesarean sections as compared to 11.9 per cent performed in government health institutions.
It is doubtful if the makers of the guidelines have any deep understanding of the emergency and time factors behind C sections.
Probably the crucial time will be lost only in the referring and taking permissions. And in case if something bad happens to the patient, then the concerned doctor will be booked for negligence.
If at all government wants to prevent unnecessary C sections, then it must prepare proper guidelines and reasoning to be added in the patient sheets, subject to may be some verification.
Else such steps will do more harm than good to the patients.
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