Informed consent is necessary for Cesarean deliveries

Health Care, Heart Care Foundation of India, Medicine Comments Off

Natural birth may be a waiting game but is better in cases without complications

New Delhi, 18 February 2018: The WHO has recently indicated that women in labor should be given more time to give birth and have fewer medical interventions. It also rejected a traditional benchmark in labor wards worldwide for the dilation of a woman’s cervix at the rate of 1 cm per hour, calling it as unrealistic and leading to excessive caesarean sections.

Cesarean sections (C-sections) and the use of oxytocin to speed up labor is becoming very rampant in several areas of the world. This is a synthesized form of a natural hormone routinely injected intravenously to women to cause contractions, expediting birth to avoid complications.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, President Heart Care Foundation of India (HCFI) and Immediate Past* *National President Indian Medical Association (IMA), *said, “C-sections should be done only when vaginal delivery poses a risk to the mother or baby. This mode of delivery can cause significant complications, disability or death, particularly in settings that lack the facilities to conduct safe surgeries or treat potential complications. What we seem to be experiencing nowadays is overmedicalization of normal pregnancy and birth. Natural birth may seem like a waiting game but in the absence of any potential complications due to which a C-section may be needed, it is advisable to let nature take its course.”

Adding further, *Dr Aggarwal, who is also the Vice President of CMAAO*, said, “The patient should be informed that even elective CS is not
risk-free. An audit of deliveries cesarean sections, in the private as well as public health facilities, is needed to find out the reasons for the
decision to perform each cesarean section before judging that economics and not medicine, influence a doctor’s decision to do a cesarean delivery.”

Cesarean section rates may be higher in tertiary institutes or super-specialty hospitals as they get complicated cases, said *Dr Anita
Kant Senior Gynecologist at Asian Institute of Medical* Sciences.

People with influenza stand the risk of a heart attack

Health Care, Heart Care Foundation of India Comments Off

Vaccination can go a long way in preventing the onset of flu

New Delhi, 25 January 2018: Statistics indicate that people who get flu may be at a six-fold higher risk of heart attack in the week following infection. The risk of heart attack — or myocardial infarction — is particularly acute in older adults. These findings assume importance as an association between influenza and acute myocardial infarction reinforces the need for vaccination. While other respiratory viruses were also seen to raise the risk of heart attack, the incidence was not as high as the flu virus.

Influenza or ‘the flu’ is a highly contagious disease caused by infection from influenza type A or B (or rarely C) virus. These viruses infect the upper airways and lungs. Flu is not similar to a common cold and can be a serious illness. It is particularly of harm to the elderly and those with underlying medical conditions.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, President Heart Care Foundation of India (HCFI) and Immediate Past National President Indian Medical Association (IMA), said, “During flu illness, our body is under a lot of stress and inflammation is up. Further, the oxygen levels and blood pressure can drop which can lead to an increased risk of blood clots in the vessels that serve the heart. All of these can cause heart attack. Vaccination is the best way to reduce the risk of getting flu. Being vaccinated gives you protection against flu by building immunity to the virus and preventing transmission of the virus to other people.”

The initial symptoms of flu include headaches, chills, and a cough. Other signs such as fever, loss of appetite, and muscle aches follow late. Apart from this, nausea, vomiting, and diarrhea are rare in adults but more common in children.

Adding further, Dr Aggarwal, who is also Group Editor of IJCP, said, “There are other complications of a flu such as bacterial pneumonia, ear infections, sinus infections, and worsening of chronic medical conditions, such as asthma, or diabetes. It is, therefore, important to not ignore symptoms of a flu. Chest pains and shortness of breath might indicate a lot more.”

The following tips can help prevent influenza.

  • Avoid close contact with people who are sick. When you are sick, keep your distance from others to protect them from getting sick too.
  • If possible, stay home from work, school, and errands when you are sick. This will help prevent spreading your illness to others.
  • Cover your mouth and nose with a tissue when coughing or sneezing. It may prevent those around you from getting sick.
  • Washing your hands often will help protect you from germs. If soap and water are not available, use an alcohol-based hand rub.
  • Germs are often spread when a person touches something that is contaminated with germs and then touches his or her eyes, nose, or mouth.
  • Clean and disinfect frequently touched surfaces at home, work or school, especially when someone is ill. Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious food.

Medical profession does not need any regulators: IMA

Health Care, Medicine, Social Health Community Comments Off

Doctors are considered next to God and require no regulators

New Delhi, 27 December 2017: The Union Cabinet recently rendered another blow to the medical profession with the approval of the draft National Medical Commission Bill, 2017. The NMC will “cripple” the functioning of the medical profession by making it completely answerable to the bureaucracy and non-medical administrators. Devoid of federal character, this non-representative half non-medical body will be a poor substitute for the MCI. NMC will not represent the medical profession of India in any manner.

Delivering affordable health care to India’s billion plus people presents enormous challenges and opportunities for the medical fraternity. Political ideologies play a distinctive role in determining the health policies of our country. The profession is fighting to ensure that further escalation of healthcare costs can be avoided. This, again, is only for the greater good of the community. This and other points were discussed at the Annual Central Council Meeting of the IMA held in Mumbai.

“Medical profession is regarded as a noble profession and no other profession has been given a similar high status. ‘Doctors treat, but God heals’ is a well-known saying. Doctors are considered next to Gods and hence require no regulators. They need to self-regulate themselves,” said Dr KK Aggarwal National President IMA during the Annual Central Council meeting.

Addressing the Central Council meeting, Dr KK Aggarwal and Dr Ravi Wankhedkar Incoming National President IMA, in a joint statement, said, “Dharma of a doctor is to treat and save the life of a person at any cost. It is time that the community supports us as we support them. We speak the loudest when we speak with one voice. Now, all corporate houses shall have to follow the MCI ethics and will help the profession provide affordable healthcare.”

Honorary Secretary General IMA Dr R N Tandon said, “Today, IMA is the largest medical professional body and is committed to affordable health care.”

The IMA has added the following in the last one year.

  • New medical emblem for doctors to differentiate MBBS doctors from non-MBBS doctors
  • IMA self-regulation code
  • A one-day educational event on TB with over 1000 doctors in March 2018
  • IMA policy on preventing antibiotic resistance
  • IMA restoration guidelines
  • IMA declaration of pollution as public health emergency\
  • IMA policy on writing NLEM drugs and capping the prices of non-NLEM items
  • New guidelines on criminal prosecution of doctors
  • IMA no incentive policy (no cuts, no commissions, no referral fee without service)
  • IMA accreditation of clinics, less than 50 bedded medical establishments and educational programmes
  • Aao School Chalen on the 5th of every month
  • IMA One drug-One price-One company policy

« Previous Entries