Sensitive methods of monitoring Intra uterine condition of fetus is just wastage of time…in obstetrics in rural area in India.

Though there are highly sensitive

and effective methods like

Non Stress Test or

Continuous fetal monitoring

by using Doppler during labor…these things are not useful in Rural Obstetrics.

First most things are that the percentage of cesarean section is increased by more than 20 percent…over all…including city area. In big Institutional Set ups in city area…many cesareans are done as elective…or planned. This known fact has made relatives of patients reluctant for cesarean section.

In rural area…there are very few such elective or planned cesarean cases…due to reluctant of relatives of patients. And Obstetricians are accepting and following same old protocol of giving trail for normal vaginal delivery…in spite of…book indicated case for cesarean section.

This is the old trend to satisfy or to prepare mind of patient or her relatives for cesarean delivery…as many obstetricians in rural area…believe in such practice. And during such time…Is there anything like monitoring fetal distress so as to react fast and properly.

Rather such things gives tension to a doctor…nothing more than that…just to hear heart sound of fetus periodically is enough. Few doctors are expert in convincing the relatives…for them there are no indications for cesarean section. The common people are of common opinion that cesarean was done aiming to get money only…and doctors are culprits. Majority of doctors in rural area have to face angry unsatisfied relatives of patient…posted for cesarean. These are relatives of patient…of whom some relative had cesarean in city area…and paid maximum for it…Just like…Dogs barking on each vehicle with past memory of death of his keen by dash of some vehicle.

Well equipped set ups of obstetricians have contributed in mission of decreasing maternal and neonatal mortality drastically…

But lack of nearest Blood transfusion facility…reluctant and arrogant relatives…                                                                                                                                             are making Life of Doctors in rural area…Miserable.

Health can not be classified as Rural health and Urban health…and measures to provide health are also same…then why as approach of people towards health in rural and urban area differs a lot is the question to be answered.

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