In Karnataka, almost one of every three supplies is performed via C-Section. | Photo Credit: Getty Images
Audit of Caserean Sects (C-SECTION) in Karnataka by a team of medical department experts found that in mild cases you participate in slight cases to take care of increasing factors for increasing presentations to give delivery to be carried out.
In Karnataka, almost one of every three supplies is performed via C-Section. Over the past 15 years, section C has doubled, indicating a significant shift in obstetric practices. While the delivery of Caesarean section is intervention when medically indicated, too high the rate is associated with increased surgical risks, higher health care costs and unnecessary burden on the medical system.
Committee reviews
In order to solve this increasing concern and reduce C-SECECE rates, the medical department has launched a comprehensive review of C-SECTION and audit of such supplies in the Tumcur District Hospital, where the highest rate in the state is. Finding out the review and audit-managed committee for multiple stakeholders in January 2025-the State Technical Commission was reviewed on June 17, 2025.
According to the Committee report, every second Caesarean section was repeated section C, without a court for vaginal birth after Caesarean section (VBAC). In addition, non-standardized induction procedures leading to poor progression of work, high recommendations from Taluk hospitals to the district hospital and the demand of patients and their relatives contributed to a higher degree of C-Section.
Harsh Gupta, the main secretary, health and care of the family, told the Hind on Thursday that regular audits of C-sectoral cases in randomly selected public facilities will be carried out by the State Technical Commission since then.
Remedial measures
“While this audit is for the district hospital of Tumcura, contributing factors are as large in all districts. We have initiated corrective measures and implement orientation programs for obstetricians and gynecologists on the safety and feasibility of VBAC.
“While optimization of high-quality prenatal care controls (anc) is performed by introducing newer tools, such as” gestosis scoring “used to assess the risk of preeclampsia and” pregnancy “used to calculate the gestational age and delivery date, the form of consent for C-sections was revised by incorporation of side effects,” Gupta said.
In order to support vaginal birth according to the Ayushman Bharat Aogya Karnataka (Ab-Park) system, the Ministry is considering a proposal to include incentives for normal delivery services in primary and secondary healthcare facilities. “In addition, a proposal to download team incentives for C-sections to discourage unnecessary procedures is also being considered,” he said.
Recommendation
To ensure practices based on evidence and reduce unnecessary caesarean sections, the committee recommended the development of state guidelines for induction of labor.
“Strengthening hospitals by taluk by rationalizing broadcasting specialists to ensure that comprehensive emergency obstetrics and neonatal services are continuously; it was also recommended for renewal training on obstetric care and regular online construction of the skills for the process of work,” he said.
“Creating the capacity of nursing teams involving the principles of birth assistance initiatives, such as alternative birth positions, predecession exercises, respecting maternity care including advice in the field of work process.
Published – June 26, 2025 21:08
