Professor Gerard H.A.Visser, chairman of FIGO’sCommittee for Safe Motherhood and Newborn Health, said world-wide there hasbeen an explosion in caesarean deliveries, ranging from 50 percent in south-easternEurope to 60 percent in some Latin American countries.
In Vietnam, the rate was 33 percent in 2008, hetold an annual Vietnam-France-Asia-Pacific Conference that took place recentlyin Ho Chi Minh City.
According to the Ministry of Health, the ratewas only 12.4 percent in 2003.
Visser said the incidence of C-section hasnothing to do with evidence-based medicine.
The increase in C-sections raises directmaternal morbidity, complications in subsequent pregnancies, neonatal morbiditydue to early delivery, and auto-immune and metabolic disease in the offspring,he said.
It is time to consider the risks of C-sectionsfor long-term child health, he said.
Fees for caesarean deliveries should be reducedfor both the doctor and hospital, he said. Besides, caesarean fees should beused to increase vaginal delivery fees for doctors, better preparation forlabour and delivery, skills training for doctors and upgrading labour wards athospitals, he said.
Nguyen Duc Vinh, head of the Ministry ofHealth’s maternal and child health department, said Visser’s recommendationsare important for policy makers like him.
The two-day conference also highlighted goodnutrition in the 1,000 days between a woman’s pregnancy and her child’s secondbirthday.
Assoc Prof Dr Nguyen Anh Tuan of the HCM CityUniversity of Medicine and Pharmacy said the 1,000 days are a unique period ofopportunity to ensure children’s optimum health, growth and neurodevelopment.
Good nutrition during this period helps preventnon-communicable diseases such as obesity and diabetes in future, he said.
Other health experts spoke about the importanceof vaccines during pregnancy and children’s first years.
The conference was held by Tu Du Hospitaltogether with the French National College of Gynecologists and Obstetricians,FIGO and the Federation of Asia and Oceania’s Perinatal Societies.