Intended for healthcare professionals

Rapid response to:

This Week In The Bmj

Giving birth: home can be better than hospital

BMJ 2005; 330 doi: (Published 16 June 2005) Cite this as: BMJ 2005;330:0-a

Rapid Response:

Are we not becoming over dependent on doctors?

With the progress of science, we are becoming negative thinkers and
fearful with everything. We are becoming so over dependent on doctors and
hospitals. We take medicines for every small problem though our own body
has inbuilt mechanisms to solve such a problem without taking any
medicine. Urination, defecation and parturition are natural ways of
expelling the normal things when they become unmanageable inside the body.
Actually we are well equipped to expel them out of the body and are
expelling those things without the intervention of doctors for centuries.
The birth of the child is a natural event and it can happen at home or
anywhere without any difficulty. Only a very few cases of complications
are found. Now a days, as people have become knowledgeable about the
fertilization and conception, they start running to the hospital for urine
test to confirm pregnancy, then for scanning, and then for delivery.
Cesarean sections have become a fashion. Educated women are scared if
anything will go wrong during pregnancy and childbirth. So they go to
doctors for every small thing. They expect the unexpected to happen and
take extra precautions. If you compare the percentage of complicated child
birth and percentage of cesarean sections 50 years back and now, you can
understand how fearful people have become about the natural process of
We hear about deliveries taking place in the cars, trains and flights, on
the way to the hospital etc. What does it mean? It means that it is a
simple process. Who assists all other animals when they deliver? Won’t
they survive? Complications increase in all the processes where there is
human intervention. No wonder if doctor’s help is taken for urination and
defecation in the future. A day will come when; people will get admitted
for such simple processes like defecation and micturition also.

Competing interests:
None declared

Competing interests: No competing interests

18 June 2005
Dr.Satheesha Nayak
Selection Grade Lecturer in Anatomy, Manipal Academy of Higher Education
Manipal, Udupi District, Karnataka State, INDIA. 576104