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To the Editor BMJ,
The debate about caesarean section is so interesting that generally we
forget what we are debating. It is due to the fact that we have to
entangle many things together: empirical, rational, theoretical and
knowledge when we conclude something scientifically in general or write to
BMJ specifically. It is normal. It is good. But my point is what does this
debate mean to countires like Dominican Republic, Eritrea and Nepal
(1,2,3). I wonder what take home message a developing country physician
practicing in Dr Drife's department, may derive from such debate when s/he
has to return to Dr Kale's home country? (4,5). There s/he is asked the
following question:
Can we think about hospital delivery as parallel to
caesarean section?
S/he may not have much time and space to accomodate such trivial
question and questioning when s/he has much more important things at hand?
S/he may have to do an operation namely 'elective caesarean' or attend
normal 'hospital delivery'. I can't blame her/him that she is engulfed
with her own agenda. Definitely, everybody lives with his or her own
agenda be it in service, research or publishing.
Referecnces
1. Rominjo J,Cordero C,Beattie KJ,Wegner MN.Quality of care in labor and
delivery: a paradox in the Dominican Republic,commentary. Int J Gynecol
Obstet 2003;82:115-9.
2. Gottlieb P,Lindmark G. WHO indicators for evaluation of maternal health
care services,applicability in least developed countries: a case study
from Eritrea. Afr J Reprod Health 2002;6:13-22.
3. Costello A,Osrin D,Manandhar D. Reducing maternal and neonatal
mortality in poorest communities. BMJ 2004;329:1166-8.
4.Drife JO. We know why they die. BMJ 1996;312:1404.
5.Kale R. Maternal mortality in India. Maternal mortality is falling in
India but at slower rate than in Britain. BMJ 1996;313:304
Competing interests:
None declared
Competing interests:
No competing interests
11 December 2004
Rajendra R Wagle
PhD student
Department of Epidemilogy and Social Medicine, University of Aarhus
What about the developing countris? hospital delivery in parallel to caesarean section
To the Editor BMJ,
The debate about caesarean section is so interesting that generally we
forget what we are debating. It is due to the fact that we have to
entangle many things together: empirical, rational, theoretical and
knowledge when we conclude something scientifically in general or write to
BMJ specifically. It is normal. It is good. But my point is what does this
debate mean to countires like Dominican Republic, Eritrea and Nepal
(1,2,3). I wonder what take home message a developing country physician
practicing in Dr Drife's department, may derive from such debate when s/he
has to return to Dr Kale's home country? (4,5). There s/he is asked the
following question:
Can we think about hospital delivery as parallel to
caesarean section?
S/he may not have much time and space to accomodate such trivial
question and questioning when s/he has much more important things at hand?
S/he may have to do an operation namely 'elective caesarean' or attend
normal 'hospital delivery'. I can't blame her/him that she is engulfed
with her own agenda. Definitely, everybody lives with his or her own
agenda be it in service, research or publishing.
Referecnces
1. Rominjo J,Cordero C,Beattie KJ,Wegner MN.Quality of care in labor and
delivery: a paradox in the Dominican Republic,commentary. Int J Gynecol
Obstet 2003;82:115-9.
2. Gottlieb P,Lindmark G. WHO indicators for evaluation of maternal health
care services,applicability in least developed countries: a case study
from Eritrea. Afr J Reprod Health 2002;6:13-22.
3. Costello A,Osrin D,Manandhar D. Reducing maternal and neonatal
mortality in poorest communities. BMJ 2004;329:1166-8.
4.Drife JO. We know why they die. BMJ 1996;312:1404.
5.Kale R. Maternal mortality in India. Maternal mortality is falling in
India but at slower rate than in Britain. BMJ 1996;313:304
Competing interests:
None declared
Competing interests: No competing interests