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: 73
 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);

    }
$message = '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: 73
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
$stackFrame = (int) 1
$trace = [
	(int) 0 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ServerRequest.php',
		'line' => (int) 2421,
		'function' => 'deprecationWarning',
		'args' => [
			(int) 0 => 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead.'
		]
	],
	(int) 1 => [
		'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php',
		'line' => (int) 73,
		'function' => 'offsetGet',
		'class' => 'Cake\Http\ServerRequest',
		'object' => object(Cake\Http\ServerRequest) {},
		'type' => '->',
		'args' => [
			(int) 0 => 'catslug'
		]
	],
	(int) 2 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Controller/Controller.php',
		'line' => (int) 610,
		'function' => 'printArticle',
		'class' => 'App\Controller\ArtileDetailController',
		'object' => object(App\Controller\ArtileDetailController) {},
		'type' => '->',
		'args' => []
	],
	(int) 3 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php',
		'line' => (int) 120,
		'function' => 'invokeAction',
		'class' => 'Cake\Controller\Controller',
		'object' => object(App\Controller\ArtileDetailController) {},
		'type' => '->',
		'args' => []
	],
	(int) 4 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php',
		'line' => (int) 94,
		'function' => '_invoke',
		'class' => 'Cake\Http\ActionDispatcher',
		'object' => object(Cake\Http\ActionDispatcher) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(App\Controller\ArtileDetailController) {}
		]
	],
	(int) 5 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/BaseApplication.php',
		'line' => (int) 235,
		'function' => 'dispatch',
		'class' => 'Cake\Http\ActionDispatcher',
		'object' => object(Cake\Http\ActionDispatcher) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 6 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Http\BaseApplication',
		'object' => object(App\Application) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 7 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php',
		'line' => (int) 162,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 8 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Routing\Middleware\RoutingMiddleware',
		'object' => object(Cake\Routing\Middleware\RoutingMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 9 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php',
		'line' => (int) 88,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 10 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Routing\Middleware\AssetMiddleware',
		'object' => object(Cake\Routing\Middleware\AssetMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 11 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php',
		'line' => (int) 96,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 12 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Error\Middleware\ErrorHandlerMiddleware',
		'object' => object(Cake\Error\Middleware\ErrorHandlerMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 13 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 51,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 14 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Server.php',
		'line' => (int) 98,
		'function' => 'run',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\MiddlewareQueue) {},
			(int) 1 => object(Cake\Http\ServerRequest) {},
			(int) 2 => object(Cake\Http\Response) {}
		]
	],
	(int) 15 => [
		'file' => '/home/brlfuser/public_html/webroot/index.php',
		'line' => (int) 39,
		'function' => 'run',
		'class' => 'Cake\Http\Server',
		'object' => object(Cake\Http\Server) {},
		'type' => '->',
		'args' => []
	]
]
$frame = [
	'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php',
	'line' => (int) 73,
	'function' => 'offsetGet',
	'class' => 'Cake\Http\ServerRequest',
	'object' => object(Cake\Http\ServerRequest) {
		trustProxy => false
		[protected] params => [
			[maximum depth reached]
		]
		[protected] data => [[maximum depth reached]]
		[protected] query => [[maximum depth reached]]
		[protected] cookies => [[maximum depth reached]]
		[protected] _environment => [
			[maximum depth reached]
		]
		[protected] url => 'latest-news-updates/cutting-it-out-monitoring-c-section-deliveries-bindu-shajan-perappadan-4684065/print'
		[protected] base => ''
		[protected] webroot => '/'
		[protected] here => '/latest-news-updates/cutting-it-out-monitoring-c-section-deliveries-bindu-shajan-perappadan-4684065/print'
		[protected] trustedProxies => [[maximum depth reached]]
		[protected] _input => null
		[protected] _detectors => [
			[maximum depth reached]
		]
		[protected] _detectorCache => [
			[maximum depth reached]
		]
		[protected] stream => object(Zend\Diactoros\PhpInputStream) {}
		[protected] uri => object(Zend\Diactoros\Uri) {}
		[protected] session => object(Cake\Http\Session) {}
		[protected] attributes => [[maximum depth reached]]
		[protected] emulatedAttributes => [
			[maximum depth reached]
		]
		[protected] uploadedFiles => [[maximum depth reached]]
		[protected] protocol => null
		[protected] requestTarget => null
		[private] deprecatedProperties => [
			[maximum depth reached]
		]
	},
	'type' => '->',
	'args' => [
		(int) 0 => 'catslug'
	]
]
deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::printArticle() - APP/Controller/ArtileDetailController.php, line 73
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 88
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

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: 74
 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);

    }
$message = '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: 74
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
$stackFrame = (int) 1
$trace = [
	(int) 0 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ServerRequest.php',
		'line' => (int) 2421,
		'function' => 'deprecationWarning',
		'args' => [
			(int) 0 => 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead.'
		]
	],
	(int) 1 => [
		'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php',
		'line' => (int) 74,
		'function' => 'offsetGet',
		'class' => 'Cake\Http\ServerRequest',
		'object' => object(Cake\Http\ServerRequest) {},
		'type' => '->',
		'args' => [
			(int) 0 => 'artileslug'
		]
	],
	(int) 2 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Controller/Controller.php',
		'line' => (int) 610,
		'function' => 'printArticle',
		'class' => 'App\Controller\ArtileDetailController',
		'object' => object(App\Controller\ArtileDetailController) {},
		'type' => '->',
		'args' => []
	],
	(int) 3 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php',
		'line' => (int) 120,
		'function' => 'invokeAction',
		'class' => 'Cake\Controller\Controller',
		'object' => object(App\Controller\ArtileDetailController) {},
		'type' => '->',
		'args' => []
	],
	(int) 4 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php',
		'line' => (int) 94,
		'function' => '_invoke',
		'class' => 'Cake\Http\ActionDispatcher',
		'object' => object(Cake\Http\ActionDispatcher) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(App\Controller\ArtileDetailController) {}
		]
	],
	(int) 5 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/BaseApplication.php',
		'line' => (int) 235,
		'function' => 'dispatch',
		'class' => 'Cake\Http\ActionDispatcher',
		'object' => object(Cake\Http\ActionDispatcher) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 6 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Http\BaseApplication',
		'object' => object(App\Application) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 7 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php',
		'line' => (int) 162,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 8 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Routing\Middleware\RoutingMiddleware',
		'object' => object(Cake\Routing\Middleware\RoutingMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 9 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php',
		'line' => (int) 88,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 10 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Routing\Middleware\AssetMiddleware',
		'object' => object(Cake\Routing\Middleware\AssetMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 11 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php',
		'line' => (int) 96,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 12 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Error\Middleware\ErrorHandlerMiddleware',
		'object' => object(Cake\Error\Middleware\ErrorHandlerMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 13 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 51,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 14 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Server.php',
		'line' => (int) 98,
		'function' => 'run',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\MiddlewareQueue) {},
			(int) 1 => object(Cake\Http\ServerRequest) {},
			(int) 2 => object(Cake\Http\Response) {}
		]
	],
	(int) 15 => [
		'file' => '/home/brlfuser/public_html/webroot/index.php',
		'line' => (int) 39,
		'function' => 'run',
		'class' => 'Cake\Http\Server',
		'object' => object(Cake\Http\Server) {},
		'type' => '->',
		'args' => []
	]
]
$frame = [
	'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php',
	'line' => (int) 74,
	'function' => 'offsetGet',
	'class' => 'Cake\Http\ServerRequest',
	'object' => object(Cake\Http\ServerRequest) {
		trustProxy => false
		[protected] params => [
			[maximum depth reached]
		]
		[protected] data => [[maximum depth reached]]
		[protected] query => [[maximum depth reached]]
		[protected] cookies => [[maximum depth reached]]
		[protected] _environment => [
			[maximum depth reached]
		]
		[protected] url => 'latest-news-updates/cutting-it-out-monitoring-c-section-deliveries-bindu-shajan-perappadan-4684065/print'
		[protected] base => ''
		[protected] webroot => '/'
		[protected] here => '/latest-news-updates/cutting-it-out-monitoring-c-section-deliveries-bindu-shajan-perappadan-4684065/print'
		[protected] trustedProxies => [[maximum depth reached]]
		[protected] _input => null
		[protected] _detectors => [
			[maximum depth reached]
		]
		[protected] _detectorCache => [
			[maximum depth reached]
		]
		[protected] stream => object(Zend\Diactoros\PhpInputStream) {}
		[protected] uri => object(Zend\Diactoros\Uri) {}
		[protected] session => object(Cake\Http\Session) {}
		[protected] attributes => [[maximum depth reached]]
		[protected] emulatedAttributes => [
			[maximum depth reached]
		]
		[protected] uploadedFiles => [[maximum depth reached]]
		[protected] protocol => null
		[protected] requestTarget => null
		[private] deprecatedProperties => [
			[maximum depth reached]
		]
	},
	'type' => '->',
	'args' => [
		(int) 0 => 'artileslug'
	]
]
deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::printArticle() - APP/Controller/ArtileDetailController.php, line 74
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 88
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')) {

                trigger_error($message, E_USER_WARNING);

            } else {
$response = object(Cake\Http\Response) {

	'status' => (int) 200,
	'contentType' => 'text/html',
	'headers' => [
		'Content-Type' => [
			[maximum depth reached]
		]
	],
	'file' => null,
	'fileRange' => [],
	'cookies' => object(Cake\Http\Cookie\CookieCollection) {},
	'cacheDirectives' => [],
	'body' => '<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN"
        "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
    <link rel="canonical" href="https://im4change.in/<pre class="cake-error"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr67ff01ca7bc92-trace').style.display = (document.getElementById('cakeErr67ff01ca7bc92-trace').style.display == 'none' ? '' : 'none');"><b>Notice</b> (8)</a>: Undefined variable: urlPrefix [<b>APP/Template/Layout/printlayout.ctp</b>, line <b>8</b>]<div id="cakeErr67ff01ca7bc92-trace" class="cake-stack-trace" style="display: none;"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr67ff01ca7bc92-code').style.display = (document.getElementById('cakeErr67ff01ca7bc92-code').style.display == 'none' ? '' : 'none')">Code</a> <a href="javascript:void(0);" onclick="document.getElementById('cakeErr67ff01ca7bc92-context').style.display = (document.getElementById('cakeErr67ff01ca7bc92-context').style.display == 'none' ? '' : 'none')">Context</a><pre id="cakeErr67ff01ca7bc92-code" class="cake-code-dump" style="display: none;"><code><span style="color: #000000"><span style="color: #0000BB"></span><span style="color: #007700">&lt;</span><span style="color: #0000BB">head</span><span style="color: #007700">&gt;
</span></span></code>
<span class="code-highlight"><code><span style="color: #000000">&nbsp;&nbsp;&nbsp;&nbsp;&lt;link&nbsp;rel="canonical"&nbsp;href="<span style="color: #0000BB">&lt;?php&nbsp;</span><span style="color: #007700">echo&nbsp;</span><span style="color: #0000BB">Configure</span><span style="color: #007700">::</span><span style="color: #0000BB">read</span><span style="color: #007700">(</span><span style="color: #DD0000">'SITE_URL'</span><span style="color: #007700">);&nbsp;</span><span style="color: #0000BB">?&gt;&lt;?php&nbsp;</span><span style="color: #007700">echo&nbsp;</span><span style="color: #0000BB">$urlPrefix</span><span style="color: #007700">;</span><span style="color: #0000BB">?&gt;&lt;?php&nbsp;</span><span style="color: #007700">echo&nbsp;</span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-&gt;</span><span style="color: #0000BB">category</span><span style="color: #007700">-&gt;</span><span style="color: #0000BB">slug</span><span style="color: #007700">;&nbsp;</span><span style="color: #0000BB">?&gt;</span>/<span style="color: #0000BB">&lt;?php&nbsp;</span><span style="color: #007700">echo&nbsp;</span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-&gt;</span><span style="color: #0000BB">seo_url</span><span style="color: #007700">;&nbsp;</span><span style="color: #0000BB">?&gt;</span>.html"/&gt;
</span></code></span>
<code><span style="color: #000000"><span style="color: #0000BB">&nbsp;&nbsp;&nbsp;&nbsp;</span><span style="color: #007700">&lt;</span><span style="color: #0000BB">meta&nbsp;http</span><span style="color: #007700">-</span><span style="color: #0000BB">equiv</span><span style="color: #007700">=</span><span style="color: #DD0000">"Content-Type"&nbsp;</span><span style="color: #0000BB">content</span><span style="color: #007700">=</span><span style="color: #DD0000">"text/html;&nbsp;charset=utf-8"</span><span style="color: #007700">/&gt;
</span></span></code></pre><pre id="cakeErr67ff01ca7bc92-context" class="cake-context" style="display: none;">$viewFile = &#039;/home/brlfuser/public_html/src/Template/Layout/printlayout.ctp&#039;
$dataForView = [
	&#039;article_current&#039; =&gt; object(App\Model\Entity\Article) {

		&#039;id&#039; =&gt; (int) 35957,
		&#039;title&#039; =&gt; &#039;Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan&#039;,
		&#039;subheading&#039; =&gt; &#039;&#039;,
		&#039;description&#039; =&gt; &#039;&lt;div align=&quot;justify&quot;&gt;
-The Hindu&lt;br /&gt;
&lt;br /&gt;
&lt;em&gt;Doctors say there ought to be an audit of C-section deliveries in private and public health facilities&lt;br /&gt;
&lt;/em&gt;&lt;br /&gt;
In its new guidelines, the World Health Organization (WHO) has called for the elimination of the so-called &amp;lsquo;one-centimetre-per-hour&amp;rsquo; benchmark &amp;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 &amp;ldquo;surge&amp;rdquo; in interventions such as caesarean sections that could be &amp;ldquo;unnecessary&amp;rdquo;.&lt;br /&gt;
&lt;br /&gt;
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.&lt;br /&gt;
&lt;br /&gt;
&lt;em&gt;Data shows an increase&lt;br /&gt;
&lt;/em&gt;&lt;br /&gt;
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%.&lt;br /&gt;
&lt;br /&gt;
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, &amp;ldquo;Increasing Trend of Caesarean Rates in India: Evidence from NFHS-4&amp;rdquo;.&lt;br /&gt;
&lt;br /&gt;
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 &amp;ldquo;abnormal&amp;rdquo; by the WHO.&lt;br /&gt;
&lt;br /&gt;
&amp;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,&amp;rdquo; the organisation notes.&lt;br /&gt;
&lt;br /&gt;
However, doctors say that these recommendations have already been internalised within standard obstetric practice.&lt;br /&gt;
&lt;br /&gt;
&amp;ldquo;We can&amp;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,&amp;rdquo; says Dr. Archana Dhawan Bajaj, consultant obstetrician, gynaecologist, fertility and IVF expert at The Nurture, a Delhi-based clinic.&lt;br /&gt;
&lt;br /&gt;
Please &lt;a href=&quot;http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&quot;&gt;click here&lt;/a&gt; to read more. &lt;br /&gt;
&lt;/div&gt;&#039;,
		&#039;credit_writer&#039; =&gt; &#039;The Hindu, 4 March, 2018, http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&#039;,
		&#039;article_img&#039; =&gt; &#039;&#039;,
		&#039;article_img_thumb&#039; =&gt; &#039;&#039;,
		&#039;status&#039; =&gt; (int) 1,
		&#039;show_on_home&#039; =&gt; (int) 1,
		&#039;lang&#039; =&gt; &#039;EN&#039;,
		&#039;category_id&#039; =&gt; (int) 16,
		&#039;tag_keyword&#039; =&gt; &#039;&#039;,
		&#039;seo_url&#039; =&gt; &#039;cutting-it-out-monitoring-c-section-deliveries-bindu-shajan-perappadan-4684065&#039;,
		&#039;meta_title&#039; =&gt; null,
		&#039;meta_keywords&#039; =&gt; null,
		&#039;meta_description&#039; =&gt; null,
		&#039;noindex&#039; =&gt; (int) 0,
		&#039;publish_date&#039; =&gt; object(Cake\I18n\FrozenDate) {},
		&#039;most_visit_section_id&#039; =&gt; null,
		&#039;article_big_img&#039; =&gt; null,
		&#039;liveid&#039; =&gt; (int) 4684065,
		&#039;created&#039; =&gt; object(Cake\I18n\FrozenTime) {},
		&#039;modified&#039; =&gt; object(Cake\I18n\FrozenTime) {},
		&#039;edate&#039; =&gt; &#039;&#039;,
		&#039;tags&#039; =&gt; [
			[maximum depth reached]
		],
		&#039;category&#039; =&gt; object(App\Model\Entity\Category) {},
		&#039;[new]&#039; =&gt; false,
		&#039;[accessible]&#039; =&gt; [
			[maximum depth reached]
		],
		&#039;[dirty]&#039; =&gt; [[maximum depth reached]],
		&#039;[original]&#039; =&gt; [[maximum depth reached]],
		&#039;[virtual]&#039; =&gt; [[maximum depth reached]],
		&#039;[hasErrors]&#039; =&gt; false,
		&#039;[errors]&#039; =&gt; [[maximum depth reached]],
		&#039;[invalid]&#039; =&gt; [[maximum depth reached]],
		&#039;[repository]&#039; =&gt; &#039;Articles&#039;
	
	},
	&#039;articleid&#039; =&gt; (int) 35957,
	&#039;metaTitle&#039; =&gt; &#039;LATEST NEWS UPDATES | Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan&#039;,
	&#039;metaKeywords&#039; =&gt; &#039;national family health survey,National Family Health Survey-4,C-section,World Health Organization (WHO)&#039;,
	&#039;metaDesc&#039; =&gt; &#039;
-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 &amp;lsquo;one-centimetre-per-hour&amp;rsquo; benchmark &amp;mdash; a rule of...&#039;,
	&#039;disp&#039; =&gt; &#039;&lt;div align=&quot;justify&quot;&gt;-The Hindu&lt;br /&gt;&lt;br /&gt;&lt;em&gt;Doctors say there ought to be an audit of C-section deliveries in private and public health facilities&lt;br /&gt;&lt;/em&gt;&lt;br /&gt;In its new guidelines, the World Health Organization (WHO) has called for the elimination of the so-called &amp;lsquo;one-centimetre-per-hour&amp;rsquo; benchmark &amp;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 &amp;ldquo;surge&amp;rdquo; in interventions such as caesarean sections that could be &amp;ldquo;unnecessary&amp;rdquo;.&lt;br /&gt;&lt;br /&gt;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.&lt;br /&gt;&lt;br /&gt;&lt;em&gt;Data shows an increase&lt;br /&gt;&lt;/em&gt;&lt;br /&gt;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%.&lt;br /&gt;&lt;br /&gt;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, &amp;ldquo;Increasing Trend of Caesarean Rates in India: Evidence from NFHS-4&amp;rdquo;.&lt;br /&gt;&lt;br /&gt;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 &amp;ldquo;abnormal&amp;rdquo; by the WHO.&lt;br /&gt;&lt;br /&gt;&amp;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,&amp;rdquo; the organisation notes.&lt;br /&gt;&lt;br /&gt;However, doctors say that these recommendations have already been internalised within standard obstetric practice.&lt;br /&gt;&lt;br /&gt;&amp;ldquo;We can&amp;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,&amp;rdquo; says Dr. Archana Dhawan Bajaj, consultant obstetrician, gynaecologist, fertility and IVF expert at The Nurture, a Delhi-based clinic.&lt;br /&gt;&lt;br /&gt;Please &lt;a href=&quot;http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&quot; title=&quot;http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&quot;&gt;click here&lt;/a&gt; to read more. &lt;br /&gt;&lt;/div&gt;&#039;,
	&#039;lang&#039; =&gt; &#039;English&#039;,
	&#039;SITE_URL&#039; =&gt; &#039;https://im4change.in/&#039;,
	&#039;site_title&#039; =&gt; &#039;im4change&#039;,
	&#039;adminprix&#039; =&gt; &#039;admin&#039;
]
$article_current = object(App\Model\Entity\Article) {

	&#039;id&#039; =&gt; (int) 35957,
	&#039;title&#039; =&gt; &#039;Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan&#039;,
	&#039;subheading&#039; =&gt; &#039;&#039;,
	&#039;description&#039; =&gt; &#039;&lt;div align=&quot;justify&quot;&gt;
-The Hindu&lt;br /&gt;
&lt;br /&gt;
&lt;em&gt;Doctors say there ought to be an audit of C-section deliveries in private and public health facilities&lt;br /&gt;
&lt;/em&gt;&lt;br /&gt;
In its new guidelines, the World Health Organization (WHO) has called for the elimination of the so-called &amp;lsquo;one-centimetre-per-hour&amp;rsquo; benchmark &amp;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 &amp;ldquo;surge&amp;rdquo; in interventions such as caesarean sections that could be &amp;ldquo;unnecessary&amp;rdquo;.&lt;br /&gt;
&lt;br /&gt;
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.&lt;br /&gt;
&lt;br /&gt;
&lt;em&gt;Data shows an increase&lt;br /&gt;
&lt;/em&gt;&lt;br /&gt;
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%.&lt;br /&gt;
&lt;br /&gt;
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, &amp;ldquo;Increasing Trend of Caesarean Rates in India: Evidence from NFHS-4&amp;rdquo;.&lt;br /&gt;
&lt;br /&gt;
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 &amp;ldquo;abnormal&amp;rdquo; by the WHO.&lt;br /&gt;
&lt;br /&gt;
&amp;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,&amp;rdquo; the organisation notes.&lt;br /&gt;
&lt;br /&gt;
However, doctors say that these recommendations have already been internalised within standard obstetric practice.&lt;br /&gt;
&lt;br /&gt;
&amp;ldquo;We can&amp;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,&amp;rdquo; says Dr. Archana Dhawan Bajaj, consultant obstetrician, gynaecologist, fertility and IVF expert at The Nurture, a Delhi-based clinic.&lt;br /&gt;
&lt;br /&gt;
Please &lt;a href=&quot;http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&quot;&gt;click here&lt;/a&gt; to read more. &lt;br /&gt;
&lt;/div&gt;&#039;,
	&#039;credit_writer&#039; =&gt; &#039;The Hindu, 4 March, 2018, http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&#039;,
	&#039;article_img&#039; =&gt; &#039;&#039;,
	&#039;article_img_thumb&#039; =&gt; &#039;&#039;,
	&#039;status&#039; =&gt; (int) 1,
	&#039;show_on_home&#039; =&gt; (int) 1,
	&#039;lang&#039; =&gt; &#039;EN&#039;,
	&#039;category_id&#039; =&gt; (int) 16,
	&#039;tag_keyword&#039; =&gt; &#039;&#039;,
	&#039;seo_url&#039; =&gt; &#039;cutting-it-out-monitoring-c-section-deliveries-bindu-shajan-perappadan-4684065&#039;,
	&#039;meta_title&#039; =&gt; null,
	&#039;meta_keywords&#039; =&gt; null,
	&#039;meta_description&#039; =&gt; null,
	&#039;noindex&#039; =&gt; (int) 0,
	&#039;publish_date&#039; =&gt; object(Cake\I18n\FrozenDate) {},
	&#039;most_visit_section_id&#039; =&gt; null,
	&#039;article_big_img&#039; =&gt; null,
	&#039;liveid&#039; =&gt; (int) 4684065,
	&#039;created&#039; =&gt; object(Cake\I18n\FrozenTime) {},
	&#039;modified&#039; =&gt; object(Cake\I18n\FrozenTime) {},
	&#039;edate&#039; =&gt; &#039;&#039;,
	&#039;tags&#039; =&gt; [
		(int) 0 =&gt; object(Cake\ORM\Entity) {},
		(int) 1 =&gt; object(Cake\ORM\Entity) {},
		(int) 2 =&gt; object(Cake\ORM\Entity) {},
		(int) 3 =&gt; object(Cake\ORM\Entity) {}
	],
	&#039;category&#039; =&gt; object(App\Model\Entity\Category) {},
	&#039;[new]&#039; =&gt; false,
	&#039;[accessible]&#039; =&gt; [
		&#039;*&#039; =&gt; true,
		&#039;id&#039; =&gt; false
	],
	&#039;[dirty]&#039; =&gt; [],
	&#039;[original]&#039; =&gt; [],
	&#039;[virtual]&#039; =&gt; [],
	&#039;[hasErrors]&#039; =&gt; false,
	&#039;[errors]&#039; =&gt; [],
	&#039;[invalid]&#039; =&gt; [],
	&#039;[repository]&#039; =&gt; &#039;Articles&#039;

}
$articleid = (int) 35957
$metaTitle = &#039;LATEST NEWS UPDATES | Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan&#039;
$metaKeywords = &#039;national family health survey,National Family Health Survey-4,C-section,World Health Organization (WHO)&#039;
$metaDesc = &#039;
-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 &amp;lsquo;one-centimetre-per-hour&amp;rsquo; benchmark &amp;mdash; a rule of...&#039;
$disp = &#039;&lt;div align=&quot;justify&quot;&gt;-The Hindu&lt;br /&gt;&lt;br /&gt;&lt;em&gt;Doctors say there ought to be an audit of C-section deliveries in private and public health facilities&lt;br /&gt;&lt;/em&gt;&lt;br /&gt;In its new guidelines, the World Health Organization (WHO) has called for the elimination of the so-called &amp;lsquo;one-centimetre-per-hour&amp;rsquo; benchmark &amp;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 &amp;ldquo;surge&amp;rdquo; in interventions such as caesarean sections that could be &amp;ldquo;unnecessary&amp;rdquo;.&lt;br /&gt;&lt;br /&gt;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.&lt;br /&gt;&lt;br /&gt;&lt;em&gt;Data shows an increase&lt;br /&gt;&lt;/em&gt;&lt;br /&gt;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%.&lt;br /&gt;&lt;br /&gt;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, &amp;ldquo;Increasing Trend of Caesarean Rates in India: Evidence from NFHS-4&amp;rdquo;.&lt;br /&gt;&lt;br /&gt;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 &amp;ldquo;abnormal&amp;rdquo; by the WHO.&lt;br /&gt;&lt;br /&gt;&amp;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,&amp;rdquo; the organisation notes.&lt;br /&gt;&lt;br /&gt;However, doctors say that these recommendations have already been internalised within standard obstetric practice.&lt;br /&gt;&lt;br /&gt;&amp;ldquo;We can&amp;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,&amp;rdquo; says Dr. Archana Dhawan Bajaj, consultant obstetrician, gynaecologist, fertility and IVF expert at The Nurture, a Delhi-based clinic.&lt;br /&gt;&lt;br /&gt;Please &lt;a href=&quot;http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&quot; title=&quot;http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&quot;&gt;click here&lt;/a&gt; to read more. &lt;br /&gt;&lt;/div&gt;&#039;
$lang = &#039;English&#039;
$SITE_URL = &#039;https://im4change.in/&#039;
$site_title = &#039;im4change&#039;
$adminprix = &#039;admin&#039;</pre><pre class="stack-trace">include - APP/Template/Layout/printlayout.ctp, line 8
Cake\View\View::_evaluate() - CORE/src/View/View.php, line 1413
Cake\View\View::_render() - CORE/src/View/View.php, line 1374
Cake\View\View::renderLayout() - CORE/src/View/View.php, line 927
Cake\View\View::render() - CORE/src/View/View.php, line 885
Cake\Controller\Controller::render() - CORE/src/Controller/Controller.php, line 791
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 126
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 88
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</pre></div></pre>latest-news-updates/cutting-it-out-monitoring-c-section-deliveries-bindu-shajan-perappadan-4684065.html"/>
    <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/>
    <link href="https://im4change.in/css/control.css" rel="stylesheet" type="text/css"
          media="all"/>
    <title>LATEST NEWS UPDATES | Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan | Im4change.org</title>
    <meta name="description" content="
-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..."/>
    <script src="https://im4change.in/js/jquery-1.10.2.js"></script>
    <script type="text/javascript" src="https://im4change.in/js/jquery-migrate.min.js"></script>
    <script language="javascript" type="text/javascript">

        $(document).ready(function () {
            var img = $("img")[0]; // Get my img elem
            var pic_real_width, pic_real_height;
            $("<img/>") // Make in memory copy of image to avoid css issues
                .attr("src", $(img).attr("src"))
                .load(function () {
                    pic_real_width = this.width;   // Note: $(this).width() will not
                    pic_real_height = this.height; // work for in memory images.
                });
        });
    </script>
    <style type="text/css">
        @media screen {
            div.divFooter {
                display: block;
            }
        }

        @media print {
            .printbutton {
                display: none !important;
            }
        }
    </style>
</head>
<body>
<table cellpadding="0" cellspacing="0" border="0" width="98%" align="center">
    <tr>
        <td class="top_bg">
            <div class="divFooter">
                <img src="https://im4change.in/images/logo1.jpg" height="59" border="0"
                     alt="Resource centre on India's rural distress" style="padding-top:14px;"/>
            </div>

        </td>
    </tr>
    <tr>
        <td id="topspace">&nbsp;</td>
    </tr>

    <tr id="topspace">
        <td>&nbsp;</td>
    </tr>
    <tr>
        <td height="50" style="border-bottom:1px solid #000; padding-top:10px;" class="printbutton">
            <form><input type="button" value=" Print this page "
                         onclick="window.print();return false;"/></form>
        </td>
    </tr>

    <tr>
        <td width="100%">
            <h1 class="news_headlines" style="font-style:normal">
                <strong>Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan</strong></h1>
        </td>
    </tr>
    <tr>
        <td width="100%" style="font-family:Arial, 'Segoe Script', 'Segoe UI', sans-serif, serif"><font size="3">
                <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>               </font>
        </td>
    </tr>
    <tr>
        <td>&nbsp;</td>
    </tr>

    <tr>
        <td height="50" style="border-top:1px solid #000; border-bottom:1px solid #000;padding-top:10px;">
            <form><input type="button" value=" Print this page "
                         onclick="window.print();return false;"/></form>
        </td>
    </tr>
</table></body>
</html>'

}
$maxBufferLength = (int) 8192
$file = '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php'
$line = (int) 853
$message = 'Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853'
Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 48
Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141
[main] - ROOT/webroot/index.php, line 39

Warning (2): Cannot modify header information - headers already sent by (output started at /home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php:853) [CORE/src/Http/ResponseEmitter.php, line 148]
Code Context
            $response->getStatusCode(),

            ($reasonPhrase ? ' ' . $reasonPhrase : '')

        ));
$response = object(Cake\Http\Response) {

	'status' => (int) 200,
	'contentType' => 'text/html',
	'headers' => [
		'Content-Type' => [
			[maximum depth reached]
		]
	],
	'file' => null,
	'fileRange' => [],
	'cookies' => object(Cake\Http\Cookie\CookieCollection) {},
	'cacheDirectives' => [],
	'body' => '<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN"
        "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
    <link rel="canonical" href="https://im4change.in/<pre class="cake-error"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr67ff01ca7bc92-trace').style.display = (document.getElementById('cakeErr67ff01ca7bc92-trace').style.display == 'none' ? '' : 'none');"><b>Notice</b> (8)</a>: Undefined variable: urlPrefix [<b>APP/Template/Layout/printlayout.ctp</b>, line <b>8</b>]<div id="cakeErr67ff01ca7bc92-trace" class="cake-stack-trace" style="display: none;"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr67ff01ca7bc92-code').style.display = (document.getElementById('cakeErr67ff01ca7bc92-code').style.display == 'none' ? '' : 'none')">Code</a> <a href="javascript:void(0);" onclick="document.getElementById('cakeErr67ff01ca7bc92-context').style.display = (document.getElementById('cakeErr67ff01ca7bc92-context').style.display == 'none' ? '' : 'none')">Context</a><pre id="cakeErr67ff01ca7bc92-code" class="cake-code-dump" style="display: none;"><code><span style="color: #000000"><span style="color: #0000BB"></span><span style="color: #007700">&lt;</span><span style="color: #0000BB">head</span><span style="color: #007700">&gt;
</span></span></code>
<span class="code-highlight"><code><span style="color: #000000">&nbsp;&nbsp;&nbsp;&nbsp;&lt;link&nbsp;rel="canonical"&nbsp;href="<span style="color: #0000BB">&lt;?php&nbsp;</span><span style="color: #007700">echo&nbsp;</span><span style="color: #0000BB">Configure</span><span style="color: #007700">::</span><span style="color: #0000BB">read</span><span style="color: #007700">(</span><span style="color: #DD0000">'SITE_URL'</span><span style="color: #007700">);&nbsp;</span><span style="color: #0000BB">?&gt;&lt;?php&nbsp;</span><span style="color: #007700">echo&nbsp;</span><span style="color: #0000BB">$urlPrefix</span><span style="color: #007700">;</span><span style="color: #0000BB">?&gt;&lt;?php&nbsp;</span><span style="color: #007700">echo&nbsp;</span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-&gt;</span><span style="color: #0000BB">category</span><span style="color: #007700">-&gt;</span><span style="color: #0000BB">slug</span><span style="color: #007700">;&nbsp;</span><span style="color: #0000BB">?&gt;</span>/<span style="color: #0000BB">&lt;?php&nbsp;</span><span style="color: #007700">echo&nbsp;</span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-&gt;</span><span style="color: #0000BB">seo_url</span><span style="color: #007700">;&nbsp;</span><span style="color: #0000BB">?&gt;</span>.html"/&gt;
</span></code></span>
<code><span style="color: #000000"><span style="color: #0000BB">&nbsp;&nbsp;&nbsp;&nbsp;</span><span style="color: #007700">&lt;</span><span style="color: #0000BB">meta&nbsp;http</span><span style="color: #007700">-</span><span style="color: #0000BB">equiv</span><span style="color: #007700">=</span><span style="color: #DD0000">"Content-Type"&nbsp;</span><span style="color: #0000BB">content</span><span style="color: #007700">=</span><span style="color: #DD0000">"text/html;&nbsp;charset=utf-8"</span><span style="color: #007700">/&gt;
</span></span></code></pre><pre id="cakeErr67ff01ca7bc92-context" class="cake-context" style="display: none;">$viewFile = &#039;/home/brlfuser/public_html/src/Template/Layout/printlayout.ctp&#039;
$dataForView = [
	&#039;article_current&#039; =&gt; object(App\Model\Entity\Article) {

		&#039;id&#039; =&gt; (int) 35957,
		&#039;title&#039; =&gt; &#039;Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan&#039;,
		&#039;subheading&#039; =&gt; &#039;&#039;,
		&#039;description&#039; =&gt; &#039;&lt;div align=&quot;justify&quot;&gt;
-The Hindu&lt;br /&gt;
&lt;br /&gt;
&lt;em&gt;Doctors say there ought to be an audit of C-section deliveries in private and public health facilities&lt;br /&gt;
&lt;/em&gt;&lt;br /&gt;
In its new guidelines, the World Health Organization (WHO) has called for the elimination of the so-called &amp;lsquo;one-centimetre-per-hour&amp;rsquo; benchmark &amp;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 &amp;ldquo;surge&amp;rdquo; in interventions such as caesarean sections that could be &amp;ldquo;unnecessary&amp;rdquo;.&lt;br /&gt;
&lt;br /&gt;
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.&lt;br /&gt;
&lt;br /&gt;
&lt;em&gt;Data shows an increase&lt;br /&gt;
&lt;/em&gt;&lt;br /&gt;
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%.&lt;br /&gt;
&lt;br /&gt;
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, &amp;ldquo;Increasing Trend of Caesarean Rates in India: Evidence from NFHS-4&amp;rdquo;.&lt;br /&gt;
&lt;br /&gt;
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 &amp;ldquo;abnormal&amp;rdquo; by the WHO.&lt;br /&gt;
&lt;br /&gt;
&amp;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,&amp;rdquo; the organisation notes.&lt;br /&gt;
&lt;br /&gt;
However, doctors say that these recommendations have already been internalised within standard obstetric practice.&lt;br /&gt;
&lt;br /&gt;
&amp;ldquo;We can&amp;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,&amp;rdquo; says Dr. Archana Dhawan Bajaj, consultant obstetrician, gynaecologist, fertility and IVF expert at The Nurture, a Delhi-based clinic.&lt;br /&gt;
&lt;br /&gt;
Please &lt;a href=&quot;http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&quot;&gt;click here&lt;/a&gt; to read more. &lt;br /&gt;
&lt;/div&gt;&#039;,
		&#039;credit_writer&#039; =&gt; &#039;The Hindu, 4 March, 2018, http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&#039;,
		&#039;article_img&#039; =&gt; &#039;&#039;,
		&#039;article_img_thumb&#039; =&gt; &#039;&#039;,
		&#039;status&#039; =&gt; (int) 1,
		&#039;show_on_home&#039; =&gt; (int) 1,
		&#039;lang&#039; =&gt; &#039;EN&#039;,
		&#039;category_id&#039; =&gt; (int) 16,
		&#039;tag_keyword&#039; =&gt; &#039;&#039;,
		&#039;seo_url&#039; =&gt; &#039;cutting-it-out-monitoring-c-section-deliveries-bindu-shajan-perappadan-4684065&#039;,
		&#039;meta_title&#039; =&gt; null,
		&#039;meta_keywords&#039; =&gt; null,
		&#039;meta_description&#039; =&gt; null,
		&#039;noindex&#039; =&gt; (int) 0,
		&#039;publish_date&#039; =&gt; object(Cake\I18n\FrozenDate) {},
		&#039;most_visit_section_id&#039; =&gt; null,
		&#039;article_big_img&#039; =&gt; null,
		&#039;liveid&#039; =&gt; (int) 4684065,
		&#039;created&#039; =&gt; object(Cake\I18n\FrozenTime) {},
		&#039;modified&#039; =&gt; object(Cake\I18n\FrozenTime) {},
		&#039;edate&#039; =&gt; &#039;&#039;,
		&#039;tags&#039; =&gt; [
			[maximum depth reached]
		],
		&#039;category&#039; =&gt; object(App\Model\Entity\Category) {},
		&#039;[new]&#039; =&gt; false,
		&#039;[accessible]&#039; =&gt; [
			[maximum depth reached]
		],
		&#039;[dirty]&#039; =&gt; [[maximum depth reached]],
		&#039;[original]&#039; =&gt; [[maximum depth reached]],
		&#039;[virtual]&#039; =&gt; [[maximum depth reached]],
		&#039;[hasErrors]&#039; =&gt; false,
		&#039;[errors]&#039; =&gt; [[maximum depth reached]],
		&#039;[invalid]&#039; =&gt; [[maximum depth reached]],
		&#039;[repository]&#039; =&gt; &#039;Articles&#039;
	
	},
	&#039;articleid&#039; =&gt; (int) 35957,
	&#039;metaTitle&#039; =&gt; &#039;LATEST NEWS UPDATES | Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan&#039;,
	&#039;metaKeywords&#039; =&gt; &#039;national family health survey,National Family Health Survey-4,C-section,World Health Organization (WHO)&#039;,
	&#039;metaDesc&#039; =&gt; &#039;
-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 &amp;lsquo;one-centimetre-per-hour&amp;rsquo; benchmark &amp;mdash; a rule of...&#039;,
	&#039;disp&#039; =&gt; &#039;&lt;div align=&quot;justify&quot;&gt;-The Hindu&lt;br /&gt;&lt;br /&gt;&lt;em&gt;Doctors say there ought to be an audit of C-section deliveries in private and public health facilities&lt;br /&gt;&lt;/em&gt;&lt;br /&gt;In its new guidelines, the World Health Organization (WHO) has called for the elimination of the so-called &amp;lsquo;one-centimetre-per-hour&amp;rsquo; benchmark &amp;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 &amp;ldquo;surge&amp;rdquo; in interventions such as caesarean sections that could be &amp;ldquo;unnecessary&amp;rdquo;.&lt;br /&gt;&lt;br /&gt;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.&lt;br /&gt;&lt;br /&gt;&lt;em&gt;Data shows an increase&lt;br /&gt;&lt;/em&gt;&lt;br /&gt;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%.&lt;br /&gt;&lt;br /&gt;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, &amp;ldquo;Increasing Trend of Caesarean Rates in India: Evidence from NFHS-4&amp;rdquo;.&lt;br /&gt;&lt;br /&gt;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 &amp;ldquo;abnormal&amp;rdquo; by the WHO.&lt;br /&gt;&lt;br /&gt;&amp;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,&amp;rdquo; the organisation notes.&lt;br /&gt;&lt;br /&gt;However, doctors say that these recommendations have already been internalised within standard obstetric practice.&lt;br /&gt;&lt;br /&gt;&amp;ldquo;We can&amp;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,&amp;rdquo; says Dr. Archana Dhawan Bajaj, consultant obstetrician, gynaecologist, fertility and IVF expert at The Nurture, a Delhi-based clinic.&lt;br /&gt;&lt;br /&gt;Please &lt;a href=&quot;http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&quot; title=&quot;http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&quot;&gt;click here&lt;/a&gt; to read more. &lt;br /&gt;&lt;/div&gt;&#039;,
	&#039;lang&#039; =&gt; &#039;English&#039;,
	&#039;SITE_URL&#039; =&gt; &#039;https://im4change.in/&#039;,
	&#039;site_title&#039; =&gt; &#039;im4change&#039;,
	&#039;adminprix&#039; =&gt; &#039;admin&#039;
]
$article_current = object(App\Model\Entity\Article) {

	&#039;id&#039; =&gt; (int) 35957,
	&#039;title&#039; =&gt; &#039;Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan&#039;,
	&#039;subheading&#039; =&gt; &#039;&#039;,
	&#039;description&#039; =&gt; &#039;&lt;div align=&quot;justify&quot;&gt;
-The Hindu&lt;br /&gt;
&lt;br /&gt;
&lt;em&gt;Doctors say there ought to be an audit of C-section deliveries in private and public health facilities&lt;br /&gt;
&lt;/em&gt;&lt;br /&gt;
In its new guidelines, the World Health Organization (WHO) has called for the elimination of the so-called &amp;lsquo;one-centimetre-per-hour&amp;rsquo; benchmark &amp;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 &amp;ldquo;surge&amp;rdquo; in interventions such as caesarean sections that could be &amp;ldquo;unnecessary&amp;rdquo;.&lt;br /&gt;
&lt;br /&gt;
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.&lt;br /&gt;
&lt;br /&gt;
&lt;em&gt;Data shows an increase&lt;br /&gt;
&lt;/em&gt;&lt;br /&gt;
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%.&lt;br /&gt;
&lt;br /&gt;
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, &amp;ldquo;Increasing Trend of Caesarean Rates in India: Evidence from NFHS-4&amp;rdquo;.&lt;br /&gt;
&lt;br /&gt;
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 &amp;ldquo;abnormal&amp;rdquo; by the WHO.&lt;br /&gt;
&lt;br /&gt;
&amp;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,&amp;rdquo; the organisation notes.&lt;br /&gt;
&lt;br /&gt;
However, doctors say that these recommendations have already been internalised within standard obstetric practice.&lt;br /&gt;
&lt;br /&gt;
&amp;ldquo;We can&amp;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,&amp;rdquo; says Dr. Archana Dhawan Bajaj, consultant obstetrician, gynaecologist, fertility and IVF expert at The Nurture, a Delhi-based clinic.&lt;br /&gt;
&lt;br /&gt;
Please &lt;a href=&quot;http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&quot;&gt;click here&lt;/a&gt; to read more. &lt;br /&gt;
&lt;/div&gt;&#039;,
	&#039;credit_writer&#039; =&gt; &#039;The Hindu, 4 March, 2018, http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&#039;,
	&#039;article_img&#039; =&gt; &#039;&#039;,
	&#039;article_img_thumb&#039; =&gt; &#039;&#039;,
	&#039;status&#039; =&gt; (int) 1,
	&#039;show_on_home&#039; =&gt; (int) 1,
	&#039;lang&#039; =&gt; &#039;EN&#039;,
	&#039;category_id&#039; =&gt; (int) 16,
	&#039;tag_keyword&#039; =&gt; &#039;&#039;,
	&#039;seo_url&#039; =&gt; &#039;cutting-it-out-monitoring-c-section-deliveries-bindu-shajan-perappadan-4684065&#039;,
	&#039;meta_title&#039; =&gt; null,
	&#039;meta_keywords&#039; =&gt; null,
	&#039;meta_description&#039; =&gt; null,
	&#039;noindex&#039; =&gt; (int) 0,
	&#039;publish_date&#039; =&gt; object(Cake\I18n\FrozenDate) {},
	&#039;most_visit_section_id&#039; =&gt; null,
	&#039;article_big_img&#039; =&gt; null,
	&#039;liveid&#039; =&gt; (int) 4684065,
	&#039;created&#039; =&gt; object(Cake\I18n\FrozenTime) {},
	&#039;modified&#039; =&gt; object(Cake\I18n\FrozenTime) {},
	&#039;edate&#039; =&gt; &#039;&#039;,
	&#039;tags&#039; =&gt; [
		(int) 0 =&gt; object(Cake\ORM\Entity) {},
		(int) 1 =&gt; object(Cake\ORM\Entity) {},
		(int) 2 =&gt; object(Cake\ORM\Entity) {},
		(int) 3 =&gt; object(Cake\ORM\Entity) {}
	],
	&#039;category&#039; =&gt; object(App\Model\Entity\Category) {},
	&#039;[new]&#039; =&gt; false,
	&#039;[accessible]&#039; =&gt; [
		&#039;*&#039; =&gt; true,
		&#039;id&#039; =&gt; false
	],
	&#039;[dirty]&#039; =&gt; [],
	&#039;[original]&#039; =&gt; [],
	&#039;[virtual]&#039; =&gt; [],
	&#039;[hasErrors]&#039; =&gt; false,
	&#039;[errors]&#039; =&gt; [],
	&#039;[invalid]&#039; =&gt; [],
	&#039;[repository]&#039; =&gt; &#039;Articles&#039;

}
$articleid = (int) 35957
$metaTitle = &#039;LATEST NEWS UPDATES | Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan&#039;
$metaKeywords = &#039;national family health survey,National Family Health Survey-4,C-section,World Health Organization (WHO)&#039;
$metaDesc = &#039;
-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 &amp;lsquo;one-centimetre-per-hour&amp;rsquo; benchmark &amp;mdash; a rule of...&#039;
$disp = &#039;&lt;div align=&quot;justify&quot;&gt;-The Hindu&lt;br /&gt;&lt;br /&gt;&lt;em&gt;Doctors say there ought to be an audit of C-section deliveries in private and public health facilities&lt;br /&gt;&lt;/em&gt;&lt;br /&gt;In its new guidelines, the World Health Organization (WHO) has called for the elimination of the so-called &amp;lsquo;one-centimetre-per-hour&amp;rsquo; benchmark &amp;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 &amp;ldquo;surge&amp;rdquo; in interventions such as caesarean sections that could be &amp;ldquo;unnecessary&amp;rdquo;.&lt;br /&gt;&lt;br /&gt;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.&lt;br /&gt;&lt;br /&gt;&lt;em&gt;Data shows an increase&lt;br /&gt;&lt;/em&gt;&lt;br /&gt;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%.&lt;br /&gt;&lt;br /&gt;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, &amp;ldquo;Increasing Trend of Caesarean Rates in India: Evidence from NFHS-4&amp;rdquo;.&lt;br /&gt;&lt;br /&gt;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 &amp;ldquo;abnormal&amp;rdquo; by the WHO.&lt;br /&gt;&lt;br /&gt;&amp;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,&amp;rdquo; the organisation notes.&lt;br /&gt;&lt;br /&gt;However, doctors say that these recommendations have already been internalised within standard obstetric practice.&lt;br /&gt;&lt;br /&gt;&amp;ldquo;We can&amp;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,&amp;rdquo; says Dr. Archana Dhawan Bajaj, consultant obstetrician, gynaecologist, fertility and IVF expert at The Nurture, a Delhi-based clinic.&lt;br /&gt;&lt;br /&gt;Please &lt;a href=&quot;http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&quot; title=&quot;http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&quot;&gt;click here&lt;/a&gt; to read more. &lt;br /&gt;&lt;/div&gt;&#039;
$lang = &#039;English&#039;
$SITE_URL = &#039;https://im4change.in/&#039;
$site_title = &#039;im4change&#039;
$adminprix = &#039;admin&#039;</pre><pre class="stack-trace">include - APP/Template/Layout/printlayout.ctp, line 8
Cake\View\View::_evaluate() - CORE/src/View/View.php, line 1413
Cake\View\View::_render() - CORE/src/View/View.php, line 1374
Cake\View\View::renderLayout() - CORE/src/View/View.php, line 927
Cake\View\View::render() - CORE/src/View/View.php, line 885
Cake\Controller\Controller::render() - CORE/src/Controller/Controller.php, line 791
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 126
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 88
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</pre></div></pre>latest-news-updates/cutting-it-out-monitoring-c-section-deliveries-bindu-shajan-perappadan-4684065.html"/>
    <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/>
    <link href="https://im4change.in/css/control.css" rel="stylesheet" type="text/css"
          media="all"/>
    <title>LATEST NEWS UPDATES | Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan | Im4change.org</title>
    <meta name="description" content="
-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..."/>
    <script src="https://im4change.in/js/jquery-1.10.2.js"></script>
    <script type="text/javascript" src="https://im4change.in/js/jquery-migrate.min.js"></script>
    <script language="javascript" type="text/javascript">

        $(document).ready(function () {
            var img = $("img")[0]; // Get my img elem
            var pic_real_width, pic_real_height;
            $("<img/>") // Make in memory copy of image to avoid css issues
                .attr("src", $(img).attr("src"))
                .load(function () {
                    pic_real_width = this.width;   // Note: $(this).width() will not
                    pic_real_height = this.height; // work for in memory images.
                });
        });
    </script>
    <style type="text/css">
        @media screen {
            div.divFooter {
                display: block;
            }
        }

        @media print {
            .printbutton {
                display: none !important;
            }
        }
    </style>
</head>
<body>
<table cellpadding="0" cellspacing="0" border="0" width="98%" align="center">
    <tr>
        <td class="top_bg">
            <div class="divFooter">
                <img src="https://im4change.in/images/logo1.jpg" height="59" border="0"
                     alt="Resource centre on India's rural distress" style="padding-top:14px;"/>
            </div>

        </td>
    </tr>
    <tr>
        <td id="topspace">&nbsp;</td>
    </tr>

    <tr id="topspace">
        <td>&nbsp;</td>
    </tr>
    <tr>
        <td height="50" style="border-bottom:1px solid #000; padding-top:10px;" class="printbutton">
            <form><input type="button" value=" Print this page "
                         onclick="window.print();return false;"/></form>
        </td>
    </tr>

    <tr>
        <td width="100%">
            <h1 class="news_headlines" style="font-style:normal">
                <strong>Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan</strong></h1>
        </td>
    </tr>
    <tr>
        <td width="100%" style="font-family:Arial, 'Segoe Script', 'Segoe UI', sans-serif, serif"><font size="3">
                <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>               </font>
        </td>
    </tr>
    <tr>
        <td>&nbsp;</td>
    </tr>

    <tr>
        <td height="50" style="border-top:1px solid #000; border-bottom:1px solid #000;padding-top:10px;">
            <form><input type="button" value=" Print this page "
                         onclick="window.print();return false;"/></form>
        </td>
    </tr>
</table></body>
</html>'

}
$reasonPhrase = 'OK'
header - [internal], line ??
Cake\Http\ResponseEmitter::emitStatusLine() - CORE/src/Http/ResponseEmitter.php, line 148
Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 54
Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141
[main] - ROOT/webroot/index.php, line 39

Warning (2): Cannot modify header information - headers already sent by (output started at /home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php:853) [CORE/src/Http/ResponseEmitter.php, line 181]
Code Context
                    $value

                ), $first);

                $first = false;
$response = object(Cake\Http\Response) {

	'status' => (int) 200,
	'contentType' => 'text/html',
	'headers' => [
		'Content-Type' => [
			[maximum depth reached]
		]
	],
	'file' => null,
	'fileRange' => [],
	'cookies' => object(Cake\Http\Cookie\CookieCollection) {},
	'cacheDirectives' => [],
	'body' => '<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN"
        "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
    <link rel="canonical" href="https://im4change.in/<pre class="cake-error"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr67ff01ca7bc92-trace').style.display = (document.getElementById('cakeErr67ff01ca7bc92-trace').style.display == 'none' ? '' : 'none');"><b>Notice</b> (8)</a>: Undefined variable: urlPrefix [<b>APP/Template/Layout/printlayout.ctp</b>, line <b>8</b>]<div id="cakeErr67ff01ca7bc92-trace" class="cake-stack-trace" style="display: none;"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr67ff01ca7bc92-code').style.display = (document.getElementById('cakeErr67ff01ca7bc92-code').style.display == 'none' ? '' : 'none')">Code</a> <a href="javascript:void(0);" onclick="document.getElementById('cakeErr67ff01ca7bc92-context').style.display = (document.getElementById('cakeErr67ff01ca7bc92-context').style.display == 'none' ? '' : 'none')">Context</a><pre id="cakeErr67ff01ca7bc92-code" class="cake-code-dump" style="display: none;"><code><span style="color: #000000"><span style="color: #0000BB"></span><span style="color: #007700">&lt;</span><span style="color: #0000BB">head</span><span style="color: #007700">&gt;
</span></span></code>
<span class="code-highlight"><code><span style="color: #000000">&nbsp;&nbsp;&nbsp;&nbsp;&lt;link&nbsp;rel="canonical"&nbsp;href="<span style="color: #0000BB">&lt;?php&nbsp;</span><span style="color: #007700">echo&nbsp;</span><span style="color: #0000BB">Configure</span><span style="color: #007700">::</span><span style="color: #0000BB">read</span><span style="color: #007700">(</span><span style="color: #DD0000">'SITE_URL'</span><span style="color: #007700">);&nbsp;</span><span style="color: #0000BB">?&gt;&lt;?php&nbsp;</span><span style="color: #007700">echo&nbsp;</span><span style="color: #0000BB">$urlPrefix</span><span style="color: #007700">;</span><span style="color: #0000BB">?&gt;&lt;?php&nbsp;</span><span style="color: #007700">echo&nbsp;</span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-&gt;</span><span style="color: #0000BB">category</span><span style="color: #007700">-&gt;</span><span style="color: #0000BB">slug</span><span style="color: #007700">;&nbsp;</span><span style="color: #0000BB">?&gt;</span>/<span style="color: #0000BB">&lt;?php&nbsp;</span><span style="color: #007700">echo&nbsp;</span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-&gt;</span><span style="color: #0000BB">seo_url</span><span style="color: #007700">;&nbsp;</span><span style="color: #0000BB">?&gt;</span>.html"/&gt;
</span></code></span>
<code><span style="color: #000000"><span style="color: #0000BB">&nbsp;&nbsp;&nbsp;&nbsp;</span><span style="color: #007700">&lt;</span><span style="color: #0000BB">meta&nbsp;http</span><span style="color: #007700">-</span><span style="color: #0000BB">equiv</span><span style="color: #007700">=</span><span style="color: #DD0000">"Content-Type"&nbsp;</span><span style="color: #0000BB">content</span><span style="color: #007700">=</span><span style="color: #DD0000">"text/html;&nbsp;charset=utf-8"</span><span style="color: #007700">/&gt;
</span></span></code></pre><pre id="cakeErr67ff01ca7bc92-context" class="cake-context" style="display: none;">$viewFile = &#039;/home/brlfuser/public_html/src/Template/Layout/printlayout.ctp&#039;
$dataForView = [
	&#039;article_current&#039; =&gt; object(App\Model\Entity\Article) {

		&#039;id&#039; =&gt; (int) 35957,
		&#039;title&#039; =&gt; &#039;Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan&#039;,
		&#039;subheading&#039; =&gt; &#039;&#039;,
		&#039;description&#039; =&gt; &#039;&lt;div align=&quot;justify&quot;&gt;
-The Hindu&lt;br /&gt;
&lt;br /&gt;
&lt;em&gt;Doctors say there ought to be an audit of C-section deliveries in private and public health facilities&lt;br /&gt;
&lt;/em&gt;&lt;br /&gt;
In its new guidelines, the World Health Organization (WHO) has called for the elimination of the so-called &amp;lsquo;one-centimetre-per-hour&amp;rsquo; benchmark &amp;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 &amp;ldquo;surge&amp;rdquo; in interventions such as caesarean sections that could be &amp;ldquo;unnecessary&amp;rdquo;.&lt;br /&gt;
&lt;br /&gt;
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.&lt;br /&gt;
&lt;br /&gt;
&lt;em&gt;Data shows an increase&lt;br /&gt;
&lt;/em&gt;&lt;br /&gt;
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%.&lt;br /&gt;
&lt;br /&gt;
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, &amp;ldquo;Increasing Trend of Caesarean Rates in India: Evidence from NFHS-4&amp;rdquo;.&lt;br /&gt;
&lt;br /&gt;
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 &amp;ldquo;abnormal&amp;rdquo; by the WHO.&lt;br /&gt;
&lt;br /&gt;
&amp;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,&amp;rdquo; the organisation notes.&lt;br /&gt;
&lt;br /&gt;
However, doctors say that these recommendations have already been internalised within standard obstetric practice.&lt;br /&gt;
&lt;br /&gt;
&amp;ldquo;We can&amp;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,&amp;rdquo; says Dr. Archana Dhawan Bajaj, consultant obstetrician, gynaecologist, fertility and IVF expert at The Nurture, a Delhi-based clinic.&lt;br /&gt;
&lt;br /&gt;
Please &lt;a href=&quot;http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&quot;&gt;click here&lt;/a&gt; to read more. &lt;br /&gt;
&lt;/div&gt;&#039;,
		&#039;credit_writer&#039; =&gt; &#039;The Hindu, 4 March, 2018, http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&#039;,
		&#039;article_img&#039; =&gt; &#039;&#039;,
		&#039;article_img_thumb&#039; =&gt; &#039;&#039;,
		&#039;status&#039; =&gt; (int) 1,
		&#039;show_on_home&#039; =&gt; (int) 1,
		&#039;lang&#039; =&gt; &#039;EN&#039;,
		&#039;category_id&#039; =&gt; (int) 16,
		&#039;tag_keyword&#039; =&gt; &#039;&#039;,
		&#039;seo_url&#039; =&gt; &#039;cutting-it-out-monitoring-c-section-deliveries-bindu-shajan-perappadan-4684065&#039;,
		&#039;meta_title&#039; =&gt; null,
		&#039;meta_keywords&#039; =&gt; null,
		&#039;meta_description&#039; =&gt; null,
		&#039;noindex&#039; =&gt; (int) 0,
		&#039;publish_date&#039; =&gt; object(Cake\I18n\FrozenDate) {},
		&#039;most_visit_section_id&#039; =&gt; null,
		&#039;article_big_img&#039; =&gt; null,
		&#039;liveid&#039; =&gt; (int) 4684065,
		&#039;created&#039; =&gt; object(Cake\I18n\FrozenTime) {},
		&#039;modified&#039; =&gt; object(Cake\I18n\FrozenTime) {},
		&#039;edate&#039; =&gt; &#039;&#039;,
		&#039;tags&#039; =&gt; [
			[maximum depth reached]
		],
		&#039;category&#039; =&gt; object(App\Model\Entity\Category) {},
		&#039;[new]&#039; =&gt; false,
		&#039;[accessible]&#039; =&gt; [
			[maximum depth reached]
		],
		&#039;[dirty]&#039; =&gt; [[maximum depth reached]],
		&#039;[original]&#039; =&gt; [[maximum depth reached]],
		&#039;[virtual]&#039; =&gt; [[maximum depth reached]],
		&#039;[hasErrors]&#039; =&gt; false,
		&#039;[errors]&#039; =&gt; [[maximum depth reached]],
		&#039;[invalid]&#039; =&gt; [[maximum depth reached]],
		&#039;[repository]&#039; =&gt; &#039;Articles&#039;
	
	},
	&#039;articleid&#039; =&gt; (int) 35957,
	&#039;metaTitle&#039; =&gt; &#039;LATEST NEWS UPDATES | Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan&#039;,
	&#039;metaKeywords&#039; =&gt; &#039;national family health survey,National Family Health Survey-4,C-section,World Health Organization (WHO)&#039;,
	&#039;metaDesc&#039; =&gt; &#039;
-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 &amp;lsquo;one-centimetre-per-hour&amp;rsquo; benchmark &amp;mdash; a rule of...&#039;,
	&#039;disp&#039; =&gt; &#039;&lt;div align=&quot;justify&quot;&gt;-The Hindu&lt;br /&gt;&lt;br /&gt;&lt;em&gt;Doctors say there ought to be an audit of C-section deliveries in private and public health facilities&lt;br /&gt;&lt;/em&gt;&lt;br /&gt;In its new guidelines, the World Health Organization (WHO) has called for the elimination of the so-called &amp;lsquo;one-centimetre-per-hour&amp;rsquo; benchmark &amp;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 &amp;ldquo;surge&amp;rdquo; in interventions such as caesarean sections that could be &amp;ldquo;unnecessary&amp;rdquo;.&lt;br /&gt;&lt;br /&gt;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.&lt;br /&gt;&lt;br /&gt;&lt;em&gt;Data shows an increase&lt;br /&gt;&lt;/em&gt;&lt;br /&gt;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%.&lt;br /&gt;&lt;br /&gt;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, &amp;ldquo;Increasing Trend of Caesarean Rates in India: Evidence from NFHS-4&amp;rdquo;.&lt;br /&gt;&lt;br /&gt;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 &amp;ldquo;abnormal&amp;rdquo; by the WHO.&lt;br /&gt;&lt;br /&gt;&amp;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,&amp;rdquo; the organisation notes.&lt;br /&gt;&lt;br /&gt;However, doctors say that these recommendations have already been internalised within standard obstetric practice.&lt;br /&gt;&lt;br /&gt;&amp;ldquo;We can&amp;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,&amp;rdquo; says Dr. Archana Dhawan Bajaj, consultant obstetrician, gynaecologist, fertility and IVF expert at The Nurture, a Delhi-based clinic.&lt;br /&gt;&lt;br /&gt;Please &lt;a href=&quot;http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&quot; title=&quot;http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&quot;&gt;click here&lt;/a&gt; to read more. &lt;br /&gt;&lt;/div&gt;&#039;,
	&#039;lang&#039; =&gt; &#039;English&#039;,
	&#039;SITE_URL&#039; =&gt; &#039;https://im4change.in/&#039;,
	&#039;site_title&#039; =&gt; &#039;im4change&#039;,
	&#039;adminprix&#039; =&gt; &#039;admin&#039;
]
$article_current = object(App\Model\Entity\Article) {

	&#039;id&#039; =&gt; (int) 35957,
	&#039;title&#039; =&gt; &#039;Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan&#039;,
	&#039;subheading&#039; =&gt; &#039;&#039;,
	&#039;description&#039; =&gt; &#039;&lt;div align=&quot;justify&quot;&gt;
-The Hindu&lt;br /&gt;
&lt;br /&gt;
&lt;em&gt;Doctors say there ought to be an audit of C-section deliveries in private and public health facilities&lt;br /&gt;
&lt;/em&gt;&lt;br /&gt;
In its new guidelines, the World Health Organization (WHO) has called for the elimination of the so-called &amp;lsquo;one-centimetre-per-hour&amp;rsquo; benchmark &amp;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 &amp;ldquo;surge&amp;rdquo; in interventions such as caesarean sections that could be &amp;ldquo;unnecessary&amp;rdquo;.&lt;br /&gt;
&lt;br /&gt;
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.&lt;br /&gt;
&lt;br /&gt;
&lt;em&gt;Data shows an increase&lt;br /&gt;
&lt;/em&gt;&lt;br /&gt;
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%.&lt;br /&gt;
&lt;br /&gt;
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, &amp;ldquo;Increasing Trend of Caesarean Rates in India: Evidence from NFHS-4&amp;rdquo;.&lt;br /&gt;
&lt;br /&gt;
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 &amp;ldquo;abnormal&amp;rdquo; by the WHO.&lt;br /&gt;
&lt;br /&gt;
&amp;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,&amp;rdquo; the organisation notes.&lt;br /&gt;
&lt;br /&gt;
However, doctors say that these recommendations have already been internalised within standard obstetric practice.&lt;br /&gt;
&lt;br /&gt;
&amp;ldquo;We can&amp;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,&amp;rdquo; says Dr. Archana Dhawan Bajaj, consultant obstetrician, gynaecologist, fertility and IVF expert at The Nurture, a Delhi-based clinic.&lt;br /&gt;
&lt;br /&gt;
Please &lt;a href=&quot;http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&quot;&gt;click here&lt;/a&gt; to read more. &lt;br /&gt;
&lt;/div&gt;&#039;,
	&#039;credit_writer&#039; =&gt; &#039;The Hindu, 4 March, 2018, http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&#039;,
	&#039;article_img&#039; =&gt; &#039;&#039;,
	&#039;article_img_thumb&#039; =&gt; &#039;&#039;,
	&#039;status&#039; =&gt; (int) 1,
	&#039;show_on_home&#039; =&gt; (int) 1,
	&#039;lang&#039; =&gt; &#039;EN&#039;,
	&#039;category_id&#039; =&gt; (int) 16,
	&#039;tag_keyword&#039; =&gt; &#039;&#039;,
	&#039;seo_url&#039; =&gt; &#039;cutting-it-out-monitoring-c-section-deliveries-bindu-shajan-perappadan-4684065&#039;,
	&#039;meta_title&#039; =&gt; null,
	&#039;meta_keywords&#039; =&gt; null,
	&#039;meta_description&#039; =&gt; null,
	&#039;noindex&#039; =&gt; (int) 0,
	&#039;publish_date&#039; =&gt; object(Cake\I18n\FrozenDate) {},
	&#039;most_visit_section_id&#039; =&gt; null,
	&#039;article_big_img&#039; =&gt; null,
	&#039;liveid&#039; =&gt; (int) 4684065,
	&#039;created&#039; =&gt; object(Cake\I18n\FrozenTime) {},
	&#039;modified&#039; =&gt; object(Cake\I18n\FrozenTime) {},
	&#039;edate&#039; =&gt; &#039;&#039;,
	&#039;tags&#039; =&gt; [
		(int) 0 =&gt; object(Cake\ORM\Entity) {},
		(int) 1 =&gt; object(Cake\ORM\Entity) {},
		(int) 2 =&gt; object(Cake\ORM\Entity) {},
		(int) 3 =&gt; object(Cake\ORM\Entity) {}
	],
	&#039;category&#039; =&gt; object(App\Model\Entity\Category) {},
	&#039;[new]&#039; =&gt; false,
	&#039;[accessible]&#039; =&gt; [
		&#039;*&#039; =&gt; true,
		&#039;id&#039; =&gt; false
	],
	&#039;[dirty]&#039; =&gt; [],
	&#039;[original]&#039; =&gt; [],
	&#039;[virtual]&#039; =&gt; [],
	&#039;[hasErrors]&#039; =&gt; false,
	&#039;[errors]&#039; =&gt; [],
	&#039;[invalid]&#039; =&gt; [],
	&#039;[repository]&#039; =&gt; &#039;Articles&#039;

}
$articleid = (int) 35957
$metaTitle = &#039;LATEST NEWS UPDATES | Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan&#039;
$metaKeywords = &#039;national family health survey,National Family Health Survey-4,C-section,World Health Organization (WHO)&#039;
$metaDesc = &#039;
-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 &amp;lsquo;one-centimetre-per-hour&amp;rsquo; benchmark &amp;mdash; a rule of...&#039;
$disp = &#039;&lt;div align=&quot;justify&quot;&gt;-The Hindu&lt;br /&gt;&lt;br /&gt;&lt;em&gt;Doctors say there ought to be an audit of C-section deliveries in private and public health facilities&lt;br /&gt;&lt;/em&gt;&lt;br /&gt;In its new guidelines, the World Health Organization (WHO) has called for the elimination of the so-called &amp;lsquo;one-centimetre-per-hour&amp;rsquo; benchmark &amp;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 &amp;ldquo;surge&amp;rdquo; in interventions such as caesarean sections that could be &amp;ldquo;unnecessary&amp;rdquo;.&lt;br /&gt;&lt;br /&gt;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.&lt;br /&gt;&lt;br /&gt;&lt;em&gt;Data shows an increase&lt;br /&gt;&lt;/em&gt;&lt;br /&gt;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%.&lt;br /&gt;&lt;br /&gt;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, &amp;ldquo;Increasing Trend of Caesarean Rates in India: Evidence from NFHS-4&amp;rdquo;.&lt;br /&gt;&lt;br /&gt;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 &amp;ldquo;abnormal&amp;rdquo; by the WHO.&lt;br /&gt;&lt;br /&gt;&amp;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,&amp;rdquo; the organisation notes.&lt;br /&gt;&lt;br /&gt;However, doctors say that these recommendations have already been internalised within standard obstetric practice.&lt;br /&gt;&lt;br /&gt;&amp;ldquo;We can&amp;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,&amp;rdquo; says Dr. Archana Dhawan Bajaj, consultant obstetrician, gynaecologist, fertility and IVF expert at The Nurture, a Delhi-based clinic.&lt;br /&gt;&lt;br /&gt;Please &lt;a href=&quot;http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&quot; title=&quot;http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true&quot;&gt;click here&lt;/a&gt; to read more. &lt;br /&gt;&lt;/div&gt;&#039;
$lang = &#039;English&#039;
$SITE_URL = &#039;https://im4change.in/&#039;
$site_title = &#039;im4change&#039;
$adminprix = &#039;admin&#039;</pre><pre class="stack-trace">include - APP/Template/Layout/printlayout.ctp, line 8
Cake\View\View::_evaluate() - CORE/src/View/View.php, line 1413
Cake\View\View::_render() - CORE/src/View/View.php, line 1374
Cake\View\View::renderLayout() - CORE/src/View/View.php, line 927
Cake\View\View::render() - CORE/src/View/View.php, line 885
Cake\Controller\Controller::render() - CORE/src/Controller/Controller.php, line 791
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 126
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 88
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</pre></div></pre>latest-news-updates/cutting-it-out-monitoring-c-section-deliveries-bindu-shajan-perappadan-4684065.html"/>
    <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/>
    <link href="https://im4change.in/css/control.css" rel="stylesheet" type="text/css"
          media="all"/>
    <title>LATEST NEWS UPDATES | Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan | Im4change.org</title>
    <meta name="description" content="
-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..."/>
    <script src="https://im4change.in/js/jquery-1.10.2.js"></script>
    <script type="text/javascript" src="https://im4change.in/js/jquery-migrate.min.js"></script>
    <script language="javascript" type="text/javascript">

        $(document).ready(function () {
            var img = $("img")[0]; // Get my img elem
            var pic_real_width, pic_real_height;
            $("<img/>") // Make in memory copy of image to avoid css issues
                .attr("src", $(img).attr("src"))
                .load(function () {
                    pic_real_width = this.width;   // Note: $(this).width() will not
                    pic_real_height = this.height; // work for in memory images.
                });
        });
    </script>
    <style type="text/css">
        @media screen {
            div.divFooter {
                display: block;
            }
        }

        @media print {
            .printbutton {
                display: none !important;
            }
        }
    </style>
</head>
<body>
<table cellpadding="0" cellspacing="0" border="0" width="98%" align="center">
    <tr>
        <td class="top_bg">
            <div class="divFooter">
                <img src="https://im4change.in/images/logo1.jpg" height="59" border="0"
                     alt="Resource centre on India's rural distress" style="padding-top:14px;"/>
            </div>

        </td>
    </tr>
    <tr>
        <td id="topspace">&nbsp;</td>
    </tr>

    <tr id="topspace">
        <td>&nbsp;</td>
    </tr>
    <tr>
        <td height="50" style="border-bottom:1px solid #000; padding-top:10px;" class="printbutton">
            <form><input type="button" value=" Print this page "
                         onclick="window.print();return false;"/></form>
        </td>
    </tr>

    <tr>
        <td width="100%">
            <h1 class="news_headlines" style="font-style:normal">
                <strong>Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan</strong></h1>
        </td>
    </tr>
    <tr>
        <td width="100%" style="font-family:Arial, 'Segoe Script', 'Segoe UI', sans-serif, serif"><font size="3">
                <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>               </font>
        </td>
    </tr>
    <tr>
        <td>&nbsp;</td>
    </tr>

    <tr>
        <td height="50" style="border-top:1px solid #000; border-bottom:1px solid #000;padding-top:10px;">
            <form><input type="button" value=" Print this page "
                         onclick="window.print();return false;"/></form>
        </td>
    </tr>
</table></body>
</html>'

}
$cookies = []
$values = [
	(int) 0 => 'text/html; charset=UTF-8'
]
$name = 'Content-Type'
$first = true
$value = 'text/html; charset=UTF-8'
header - [internal], line ??
Cake\Http\ResponseEmitter::emitHeaders() - CORE/src/Http/ResponseEmitter.php, line 181
Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 55
Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141
[main] - ROOT/webroot/index.php, line 39

<head>

    <link rel="canonical" href="<?php echo Configure::read('SITE_URL'); ?><?php echo $urlPrefix;?><?php echo $article_current->category->slug; ?>/<?php echo $article_current->seo_url; ?>.html"/>

    <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/>

$viewFile = '/home/brlfuser/public_html/src/Template/Layout/printlayout.ctp'
$dataForView = [
	'article_current' => object(App\Model\Entity\Article) {

		'id' => (int) 35957,
		'title' => 'Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan',
		'subheading' => '',
		'description' => '<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">click here</a> to read more. <br />
</div>',
		'credit_writer' => 'The Hindu, 4 March, 2018, http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true',
		'article_img' => '',
		'article_img_thumb' => '',
		'status' => (int) 1,
		'show_on_home' => (int) 1,
		'lang' => 'EN',
		'category_id' => (int) 16,
		'tag_keyword' => '',
		'seo_url' => 'cutting-it-out-monitoring-c-section-deliveries-bindu-shajan-perappadan-4684065',
		'meta_title' => null,
		'meta_keywords' => null,
		'meta_description' => null,
		'noindex' => (int) 0,
		'publish_date' => object(Cake\I18n\FrozenDate) {},
		'most_visit_section_id' => null,
		'article_big_img' => null,
		'liveid' => (int) 4684065,
		'created' => object(Cake\I18n\FrozenTime) {},
		'modified' => object(Cake\I18n\FrozenTime) {},
		'edate' => '',
		'tags' => [
			[maximum depth reached]
		],
		'category' => object(App\Model\Entity\Category) {},
		'[new]' => false,
		'[accessible]' => [
			[maximum depth reached]
		],
		'[dirty]' => [[maximum depth reached]],
		'[original]' => [[maximum depth reached]],
		'[virtual]' => [[maximum depth reached]],
		'[hasErrors]' => false,
		'[errors]' => [[maximum depth reached]],
		'[invalid]' => [[maximum depth reached]],
		'[repository]' => 'Articles'
	
	},
	'articleid' => (int) 35957,
	'metaTitle' => 'LATEST NEWS UPDATES | Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan',
	'metaKeywords' => 'national family health survey,National Family Health Survey-4,C-section,World Health Organization (WHO)',
	'metaDesc' => '
-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...',
	'disp' => '<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>',
	'lang' => 'English',
	'SITE_URL' => 'https://im4change.in/',
	'site_title' => 'im4change',
	'adminprix' => 'admin'
]
$article_current = object(App\Model\Entity\Article) {

	'id' => (int) 35957,
	'title' => 'Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan',
	'subheading' => '',
	'description' => '<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">click here</a> to read more. <br />
</div>',
	'credit_writer' => 'The Hindu, 4 March, 2018, http://www.thehindu.com/sci-tech/health/cutting-it-out/article22920773.ece?homepage=true',
	'article_img' => '',
	'article_img_thumb' => '',
	'status' => (int) 1,
	'show_on_home' => (int) 1,
	'lang' => 'EN',
	'category_id' => (int) 16,
	'tag_keyword' => '',
	'seo_url' => 'cutting-it-out-monitoring-c-section-deliveries-bindu-shajan-perappadan-4684065',
	'meta_title' => null,
	'meta_keywords' => null,
	'meta_description' => null,
	'noindex' => (int) 0,
	'publish_date' => object(Cake\I18n\FrozenDate) {},
	'most_visit_section_id' => null,
	'article_big_img' => null,
	'liveid' => (int) 4684065,
	'created' => object(Cake\I18n\FrozenTime) {},
	'modified' => object(Cake\I18n\FrozenTime) {},
	'edate' => '',
	'tags' => [
		(int) 0 => object(Cake\ORM\Entity) {},
		(int) 1 => object(Cake\ORM\Entity) {},
		(int) 2 => object(Cake\ORM\Entity) {},
		(int) 3 => object(Cake\ORM\Entity) {}
	],
	'category' => object(App\Model\Entity\Category) {},
	'[new]' => false,
	'[accessible]' => [
		'*' => true,
		'id' => false
	],
	'[dirty]' => [],
	'[original]' => [],
	'[virtual]' => [],
	'[hasErrors]' => false,
	'[errors]' => [],
	'[invalid]' => [],
	'[repository]' => 'Articles'

}
$articleid = (int) 35957
$metaTitle = 'LATEST NEWS UPDATES | Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan'
$metaKeywords = 'national family health survey,National Family Health Survey-4,C-section,World Health Organization (WHO)'
$metaDesc = '
-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...'
$disp = '<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>'
$lang = 'English'
$SITE_URL = 'https://im4change.in/'
$site_title = 'im4change'
$adminprix = 'admin'

include - APP/Template/Layout/printlayout.ctp, line 8
Cake\View\View::_evaluate() - CORE/src/View/View.php, line 1413
Cake\View\View::_render() - CORE/src/View/View.php, line 1374
Cake\View\View::renderLayout() - CORE/src/View/View.php, line 927
Cake\View\View::render() - CORE/src/View/View.php, line 885
Cake\Controller\Controller::render() - CORE/src/Controller/Controller.php, line 791
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 126
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 88
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

Cutting it out: monitoring C-section deliveries -Bindu Shajan Perappadan

-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.