Obstetricians in Rural area are doing only emergency Cesarean operations…

More than 70 % of deliveries are conducted

by Non obstetricians in rural area in India.

Though the percentage of deliveries at home

are rapidly decreases in Rural area…

the fact of delivery conducted by experienced persons at remote or difficult area can not be ignored.

In many times…these deliveries are conducted at home of patient or at the residence of experienced person…usually an old female lady…called suyin in Maharashtra.

The main reason behind not going to a proper health center for delivery is the fear of operative interference like cesarean section…and…Lack of money is often secondary reason for not visiting proper health centre.

Since the process of normal parturition is the natural process…needs no active intervention unless and until required…and so most of the procedures of parturitions are being conducted by Medical Practioners who may not be a obstetrician in qualification…This is not true for only in rural and even in city area also.

But the major difference is that in city most of the obstetrics is being practiced under the supervision of a qualified obstetrician…but in rural area…the condition is exactly opposite.

Most of the obstetrics is being practiced with out supervision or guidance of obstetricians…in spite of availably of obstetricians in rural area…and when the condition is beyond their limit the patient is either transferred or a obstetrician is called for help…These things are culprits for not minimizing morbidity in obstetrics…which is the thing to be considered more seriously.