Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 150
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 151
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 151
Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94
Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 97
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Warning (512): Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853 [CORE/src/Http/ResponseEmitter.php, line 48]
Code Context
            if (Configure::read('debug')) {

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        LATEST NEWS UPDATES | Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan    </title>
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-The Hindu

Doctors say there ought to be an audit of C-section deliveries in private and public health facilities

In its new guidelines, the World Health Organization (WHO) has called for the elimination of the so-called &lsquo;one-centimetre-per-hour&rsquo; benchmark &mdash; a rule of..."/>
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-The Hindu

Doctors say there ought to be an audit of C-section deliveries in private and public health facilities

In its new guidelines, the World Health Organization (WHO) has called for the elimination of the so-called &lsquo;one-centimetre-per-hour&rsquo; benchmark &mdash; a rule of..." />
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                            <div align="justify">-The Hindu<br /><br /><em>Doctors say there ought to be an audit of C-section deliveries in private and public health facilities<br /></em><br />In its new guidelines, the World Health Organization (WHO) has called for the elimination of the so-called &lsquo;one-centimetre-per-hour&rsquo; benchmark &mdash; a rule of thumb that obstetricians use to determine whether a delivery requires surgical intervention. This is to counter what the body calls a &ldquo;surge&rdquo; in interventions such as caesarean sections that could be &ldquo;unnecessary&rdquo;.<br /><br />A caesarean section (CS or C-section) is a surgical intervention carried out to ensure the safety of mother and child when vaginal delivery is not possible. Across the world, CS rates are on the rise and India is no exception.<br /><br /><em>Data shows an increase<br /></em><br />CS rates and trends over the last 23 years in India were analysed from four consecutive National Family Health Surveys (NFHS) in research papers published in the Journal of Medical Science and Clinical Research. The authors reported that the CS rate increased from 2.9% of childbirth in 1992-93 to 17.2% in 2015-16, at an average annual rate of 8%.<br /><br />In particular, seven States had a CS rate greater than 30%, eight with rates between 10% and 20% and nine States less than 10%, as per one of the papers, &ldquo;Increasing Trend of Caesarean Rates in India: Evidence from NFHS-4&rdquo;.<br /><br />Since 1985, the international health-care community has considered the ideal rate for C-sections to be between 10-15%. Also, since the 1950s, a woman progressing through labour at a rate slower than one centimetre of cervical dilation per hour has been considered &ldquo;abnormal&rdquo; by the WHO.<br /><br />&ldquo;The tendency is to act, either with a caesarean section or with the use of drugs such as oxytocin that speed up labour, leading to the increased medicalisation of childbirth,&rdquo; the organisation notes.<br /><br />However, doctors say that these recommendations have already been internalised within standard obstetric practice.<br /><br />&ldquo;We can&rsquo;t accept that doctors would deliberately hike the C-section rates. These are done only in cases that are absolutely necessary. Patients are given an explanation about the need for it,&rdquo; says Dr. Archana Dhawan Bajaj, consultant obstetrician, gynaecologist, fertility and IVF expert at The Nurture, a Delhi-based clinic.<br /><br />Please <a href="http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true" title="http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true">click here</a> to read more. <br /></div>                                                           
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    <br><a href="http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true" class="re" target="_blank">The Hindu, 4 March, 2018, http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true</a><div class="clear"></div>
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Doctors say there ought to be an audit of C-section deliveries in private and public health facilities

In its new guidelines, the World Health Organization (WHO) has called for the elimination of the so-called &lsquo;one-centimetre-per-hour&rsquo; benchmark &mdash; a rule of..."/>
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Doctors say there ought to be an audit of C-section deliveries in private and public health facilities

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    <h1 class="cat-box-title">Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan</h1>
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                            <div align="justify">-The Hindu<br /><br /><em>Doctors say there ought to be an audit of C-section deliveries in private and public health facilities<br /></em><br />In its new guidelines, the World Health Organization (WHO) has called for the elimination of the so-called &lsquo;one-centimetre-per-hour&rsquo; benchmark &mdash; a rule of thumb that obstetricians use to determine whether a delivery requires surgical intervention. This is to counter what the body calls a &ldquo;surge&rdquo; in interventions such as caesarean sections that could be &ldquo;unnecessary&rdquo;.<br /><br />A caesarean section (CS or C-section) is a surgical intervention carried out to ensure the safety of mother and child when vaginal delivery is not possible. Across the world, CS rates are on the rise and India is no exception.<br /><br /><em>Data shows an increase<br /></em><br />CS rates and trends over the last 23 years in India were analysed from four consecutive National Family Health Surveys (NFHS) in research papers published in the Journal of Medical Science and Clinical Research. The authors reported that the CS rate increased from 2.9% of childbirth in 1992-93 to 17.2% in 2015-16, at an average annual rate of 8%.<br /><br />In particular, seven States had a CS rate greater than 30%, eight with rates between 10% and 20% and nine States less than 10%, as per one of the papers, &ldquo;Increasing Trend of Caesarean Rates in India: Evidence from NFHS-4&rdquo;.<br /><br />Since 1985, the international health-care community has considered the ideal rate for C-sections to be between 10-15%. Also, since the 1950s, a woman progressing through labour at a rate slower than one centimetre of cervical dilation per hour has been considered &ldquo;abnormal&rdquo; by the WHO.<br /><br />&ldquo;The tendency is to act, either with a caesarean section or with the use of drugs such as oxytocin that speed up labour, leading to the increased medicalisation of childbirth,&rdquo; the organisation notes.<br /><br />However, doctors say that these recommendations have already been internalised within standard obstetric practice.<br /><br />&ldquo;We can&rsquo;t accept that doctors would deliberately hike the C-section rates. These are done only in cases that are absolutely necessary. Patients are given an explanation about the need for it,&rdquo; says Dr. Archana Dhawan Bajaj, consultant obstetrician, gynaecologist, fertility and IVF expert at The Nurture, a Delhi-based clinic.<br /><br />Please <a href="http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true" title="http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true">click here</a> to read more. <br /></div>                                                           
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    <br><a href="http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true" class="re" target="_blank">The Hindu, 4 March, 2018, http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true</a><div class="clear"></div>
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-The Hindu

Doctors say there ought to be an audit of C-section deliveries in private and public health facilities

In its new guidelines, the World Health Organization (WHO) has called for the elimination of the so-called &lsquo;one-centimetre-per-hour&rsquo; benchmark &mdash; a rule of..." />
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    <h1 class="cat-box-title">Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan</h1>
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                            <div align="justify">-The Hindu<br /><br /><em>Doctors say there ought to be an audit of C-section deliveries in private and public health facilities<br /></em><br />In its new guidelines, the World Health Organization (WHO) has called for the elimination of the so-called &lsquo;one-centimetre-per-hour&rsquo; benchmark &mdash; a rule of thumb that obstetricians use to determine whether a delivery requires surgical intervention. This is to counter what the body calls a &ldquo;surge&rdquo; in interventions such as caesarean sections that could be &ldquo;unnecessary&rdquo;.<br /><br />A caesarean section (CS or C-section) is a surgical intervention carried out to ensure the safety of mother and child when vaginal delivery is not possible. Across the world, CS rates are on the rise and India is no exception.<br /><br /><em>Data shows an increase<br /></em><br />CS rates and trends over the last 23 years in India were analysed from four consecutive National Family Health Surveys (NFHS) in research papers published in the Journal of Medical Science and Clinical Research. The authors reported that the CS rate increased from 2.9% of childbirth in 1992-93 to 17.2% in 2015-16, at an average annual rate of 8%.<br /><br />In particular, seven States had a CS rate greater than 30%, eight with rates between 10% and 20% and nine States less than 10%, as per one of the papers, &ldquo;Increasing Trend of Caesarean Rates in India: Evidence from NFHS-4&rdquo;.<br /><br />Since 1985, the international health-care community has considered the ideal rate for C-sections to be between 10-15%. Also, since the 1950s, a woman progressing through labour at a rate slower than one centimetre of cervical dilation per hour has been considered &ldquo;abnormal&rdquo; by the WHO.<br /><br />&ldquo;The tendency is to act, either with a caesarean section or with the use of drugs such as oxytocin that speed up labour, leading to the increased medicalisation of childbirth,&rdquo; the organisation notes.<br /><br />However, doctors say that these recommendations have already been internalised within standard obstetric practice.<br /><br />&ldquo;We can&rsquo;t accept that doctors would deliberately hike the C-section rates. These are done only in cases that are absolutely necessary. Patients are given an explanation about the need for it,&rdquo; says Dr. Archana Dhawan Bajaj, consultant obstetrician, gynaecologist, fertility and IVF expert at The Nurture, a Delhi-based clinic.<br /><br />Please <a href="http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true" title="http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true">click here</a> to read more. <br /></div>                                                           
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    <br><a href="http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true" class="re" target="_blank">The Hindu, 4 March, 2018, http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true</a><div class="clear"></div>
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Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan

Published on Mar 5, 2018   Modified on Mar 5, 2018

-The Hindu Doctors say there ought to be an audit of C-section deliveries in private and public health facilities In its new guidelines, the World Health Organization (WHO) has called for the elimination of the so-called ‘one-centimetre-per-hour’ benchmark — a rule of thumb that obstetricians use to determine whether a delivery requires surgical intervention. This is to counter what the body calls a “surge” in interventions such as caesarean sections that could be “unnecessary”. A caesarean section (CS or C-section) is a surgical intervention carried out to ensure the safety of mother and child when vaginal delivery is not possible. Across the world, CS rates are on the rise and India is no exception. Data shows an increase CS rates and trends over the last 23 years in India were analysed from four consecutive National Family Health Surveys (NFHS) in research papers published in the Journal of Medical Science and Clinical Research. The authors reported that the CS rate increased from 2.9% of childbirth in 1992-93 to 17.2% in 2015-16, at an average annual rate of 8%. In particular, seven States had a CS rate greater than 30%, eight with rates between 10% and 20% and nine States less than 10%, as per one of the papers, “Increasing Trend of Caesarean Rates in India: Evidence from NFHS-4”. Since 1985, the international health-care community has considered the ideal rate for C-sections to be between 10-15%. Also, since the 1950s, a woman progressing through labour at a rate slower than one centimetre of cervical dilation per hour has been considered “abnormal” by the WHO. “The tendency is to act, either with a caesarean section or with the use of drugs such as oxytocin that speed up labour, leading to the increased medicalisation of childbirth,” the organisation notes. However, doctors say that these recommendations have already been internalised within standard obstetric practice. “We can’t accept that doctors would deliberately hike the C-section rates. These are done only in cases that are absolutely necessary. Patients are given an explanation about the need for it,” says Dr. Archana Dhawan Bajaj, consultant obstetrician, gynaecologist, fertility and IVF expert at The Nurture, a Delhi-based clinic. Please click here to read more.

The Hindu, 4 March, 2018, http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true

Tagged with: national family health survey National Family Health Survey-4 C-section World Health Organization (WHO)

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