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Lack of recognition irks anaesthetists Chandigarh, April 3 “It feels sad when the entire credit is hogged by the surgeon as it happened in the case of the knee surgery performed on the Prime Minister Atal Bihari Vajpayee when we all know that the contribution of the anaesthetist is equally important,” said Prof Rajiv Chawla, from G.B. Pant Hospital, New Delhi. He was here to attend a seminar on “Safety in anaesthesia” being organised by the Chandigarh Branch of the Indian Society of Anaesthesiologists and the Department of Anaesthesia at the PGI, today. It is unfortunate that in India the anaesthetist has to live in the shadow of the surgeon as it is he who gets the entire credit for the successful surgery and in case of failure it is we who get the entire blame, he said. “In advanced countries, the patient not only chooses his surgeon but also the anaesthetist, as he has to monitor the blood pressure, the respiration and functioning of the vital organs, both before and after the surgery,” said Professor Chawla. Professor Chawla said it was because of lack of recognition for the contribution of anaesthetists that this speciality had failed to come up. He said since anaesthetists were not being given credit for their work, very few young doctors were opting for this speciality. Dr Rajeshwari S from AIIMS said in case the patient was not taken care of during pre-operative care, the outcome of the surgery could be seriously affected. “The role of the surgeon is limited mainly to the operation theatre but it is we anaesthetists who look after the patient during pre and post-operative care,” informed Dr
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Preference for caesarean deliveries worries docs Chandigarh, April 3 Unlike in some Western countries, there is no legislation in India under which a woman can demand a caesarean delivery and the doctor is duty-bound to perform the surgery. “Though in countries like Brazil, the percentage of caesarean deliveries has touched 80 per cent, here at the PGI the figure stands at 32 per cent,” said Prof Sarla Malhotra of the Obstetrics and Gynaecology Department at the PGI. Notwithstanding the high risk and complications in a caesarean delivery, women, including a large percentage of young doctors, are themselves preferring it, with gynaecologists terming it as an indicator of increasing women’s autonomy and independence. Between 1970 and 1980, there was a four-fold increase in the number of caesarean deliveries. Eminent gynaecologists from private and government hospitals in the region will discuss the legal and ethical issues related to this trend of women demanding delivery through C-section, and how the doctor should react in a situation where a normal delivery is possible. She said late marriages, being career conscious, along with social and financial independence were some of the reasons for increase in caesarean deliveries. Professor Malhotra said the relatively high figure of 32 per cent caesarean deliveries at the PGI was mainly because of the referral nature of the institute as the most complicated cases from the region come here. “I personally feel the trend of women going in for elective caesarean delivery, despite a normal delivery being possible, should be curbed as the risk to the woman as well as the child is three times higher,” she said. Citing data, she said till 1970 this figure was below 10 per cent anywhere in the world and it was only during the past two decades that the number had shot up. “At one point of time, the figure of caesarean deliveries at the PGI touched 40 per cent and it was only after our concerted efforts that it could be brought down to 32 per cent,” she said. “Being a conservative doctor, I will always try and convince a woman, who is demanding a caesarean , to go in for a normal delivery. I have seen that in many cases women agree,” said Professor Malhotra. She explained that in case of a caesarean, there could be complications like excessive bleeding and at times removal of the uterus had to be undertaken. “Apart from the fact that the maternal morbidity in a caesarean is higher, a resource-poor country like India cannot afford to let this trend catch on, which is not healthy in any respect,” she emphasised. Refusing to comment on the relatively higher percentage of caesarean in private hospitals, she said they had their own peculiar problems and compulsions. |
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Relief for women with
urinary disorder Chandigarh, April 3 “Since the new surgical technique, in which we make use of a synthetic tape, has made the surgery very simple, more women can now go in for correction of this problem, which can be very distressing,” said Dr A.S. Bawa, a urologist at the GMCH. He said surgery with the latest technique was performed on a 47-year-old woman last week. Dr Bawa said though in the West most women suffering from this problem went in for surgery, in India women continued to suffer due to various factors like inhibition. “Involuntary leakage of urine is a very common problem among women, especially after the age of 40, and the incidence is as high as one out of every four women,” he explained. He said advancing age, repeated pregnancies and obesity predisposed this condition and the leakage occurred during sneezing, coughing and lifting of weight. “The unfortunate part is that women keep suffering in silence despite the problem being curable,” he said. He said the first surgery with the help of synthetic tape was performed in Mumbai. This had now become possible with the marketing of the tape, which was manufactured abroad, in India. Since the surgery does not require any hospitalisation and a small incision is made, more women are now likely to go in for this procedure, whose success rate has been found to be as high as 95 per cent, with long favourable results. Dr Bawa said the patient on whom the surgery had been done was diabetic and had been suffering from the problem for the past four years. The fact that she had had three pregnancies further precipitated the problem. The cost of synthetic tape was Rs 2,000, he added. |
An afternoon of entertaining golf Chandigarh, April 3 In the morning session Dilmick Lamba and P.K. Chaudhry, founder president of the Haryana Golf Association, won the competitions in the 0-13 and 14-24 handicap divisions, respectively. While Lamba, who had a declared handicap of 9 was calculated at 8.40 handicap, Chaudhry was calculated at 12 handicap, two better than his declared handicap of 14. Sagar Bhatia and Col Harkirat Singh finished runners-up in the 0-13 and 14-24 handicap sections, respectively. The afternoon session saw I.P.S. Mann and K.K. Syal emerging winners in the 0-14 and 15-24 handicap divisions, respectively. Mann was calculated at 4.80 handicap (declared 6) and Syal at 16.80 (declared 16). Pankaj Krishan and Navneet Chabra finished runners-up in the 0-14 and 15-24 handicap divisions, respectively. |
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Selection trials for national women hockey Chandigarh, April 3 The Indian women hockey team, which recently won the Asia Cup title, will be playing a series of Test matches in Australia and New Zealand. According to Mr Kaushik the team will play their first match on April 28 in Australia. Mr Kaushik was all praise for the newly laid turf here and said with more camps now being allotted to Chandigarh, it would give a boost to hockey in the city. Meanwhile, out fo 24 probables, except Nilima Kujur, Sita Gussain, 22 girls have already reported for the trials. Tomorrow the president of the Indian Women Hockey Federation( IWHF), Ms Vidya Stokes, will also supervise the final phase of the trials before the announcement of the final list. The players who have reported for the trials are: Goalkeeper: Helen Mary, Deepika Murty, Nilan Sis; full backs: Suman Bala, Kanti Baa, Binita Toppo and Pushpa Pradhan; half backs: Suraj Lata Devi, Masira Surin, Asunta Lakra, Sumrai Tete, Subhadra Pradhan; forwards: Sanggai Idemhal Chanu, Adline Kerketta, Jasjeet Kaur, Annarita Kerketta, Surinder Kaur, Jyoti Sunita Kullu, Mamta Kharab, Saba Anjum, Nishi Chauhan and Amrita
Minz. |
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CCA-DAV team win S.N. Vohra cricket meet Chandigarh, April 3 Mr Chandersekhar, ADGP, Punjab Police, was the chief guest and gave away the prizes. Saheb Malhotra was adjudged man-of-the-series while Gaurav Puri the best batsman and Saraansh best bowler. Saurav Chopra was given man-of-the-match award. Brief scores: Stadium CC-16:145 runs for six in 40 overs (Ashish 32,Vikas 18, Saheb 18); and CCA and DAV:146 runs for four in 36.4 overs (Saurav Chopra 52, Ankit Kaushik 35,Vikas 18).
Selection trials Selection trials-cum-national coaching camp for the national roller skating team in roller hockey, for both men and women events, will be held on April 5 at the KB DAV Centenary School, Sector 7. Ms Madhu Bahl, Chairman, Roller Skating Federation of India, said the first two days will be devoted to the trials for the 10th Asian skating meet to be held in Akita , Japan. She said the medal winner of the last national championship and the participants of the Ninth Asian Skating Meet can take part in the trials. |
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